Individual provider Active NPI

Travonia Davis, FNP-BC

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1326340217
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004985 Issued in NC
Practice address
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone
(336) 718-3550
Fax
(336) 277-6981
NPI assigned
Nov 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004985 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5004985 NC
Nurse Practitioner 363L00000X 5004985 NC Primary

Addresses

Primary practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 718-3550

Other practice location 1

416 Vision Dr
Asheboro, NC 27203-3855
Phone (336) 672-9300 ext. 261

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdavis404762@direct.novanthealth.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119001093 NC Practitioner - Nurse Practitioner 1658550926 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1010 Bethesda CT
Winston Salem, NC 27103-3019
Phone (336) 277-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004985NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital Inc CurrentSince Jul 12, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 12, 2020 Accepting new patients
Thriveworks Clinical - North Carolina PC CurrentSince Mar 25, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Nov 1, 2025 Accepting new patients
Better Tomorrows Psychiatry and Emotional Health Psychiatric/Mental Health Current Accepting new patients
Horizon Internal Medicine PLLC CurrentSince Dec 3, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 12, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 12, 2020 Accepting new patients
Daymark Recovery Services, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients
NC Elder Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

3300 Battleground Ave
Ste 220
Greensboro, NC 27410
Phone (336) 455-7696

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000

650 Highland Ave
Ste 100
Winston Salem, NC 27101
Phone (336) 606-8523

140 Kimel Park Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 718-7250

1551 Westbrook Plaza Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 896-1477

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • Direct secure messaging: travonia.davis.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1326340217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-718-3550",
            "fax_number": "336-277-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-3550",
            "fax_number": "336-277-6981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272033855",
            "country_code": "US",
            "telephone_number": "336-672-9300 x261",
            "fax_number": "336-672-0868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRAVONIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004985",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5004985",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdavis404762@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "416 Vision Dr",
            "city": "Asheboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272033855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.