Active NPI
Rita-Kay Mabine Davis, M.D.
- Psychiatry Physician
- Rocky Mount, NC
National Provider Identifier
1316957319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200300647
- Practice address
- 300 N Grace St
Rocky Mount, NC 27804-5345 - Phone
- (252) 210-9856
- Fax
- (252) 822-5067
- NPI assigned
- Aug 9, 2006
- Last updated
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200300647 | NC | Primary |
Addresses
Primary practice location
300 N Grace St
Rocky Mount, NC 27804-5345
Mailing address
PO Box 2723
Rocky Mount, NC 27802-2723
Phone (252) 210-9856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89136GF | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Family Services PLLC | Current | Accepting new patients | |
| Integrated Family Services PLLC | Current | Accepting new patients | |
| Southeastern Regional Mental Health Center | Past | Accepting new patients |
Locations
202 NC Highway 42 W
Ahoskie, NC 27910
Phone (252) 209-0388
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Ahoskie, NC
- NPI 1942289244
-
- Clinical Social Worker
- Elizabeth City, NC
- NPI 1629205208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1316957319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2723",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278022723",
"telephone_number": "252-210-9856",
"fax_number": "252-212-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N GRACE ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045345",
"telephone_number": "252-210-9856",
"fax_number": "252-822-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RITA-KAY",
"middle_name": "MABINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200300647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89136GF",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.