Individual provider Active NPI

Denise Lynne Davis, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waxhaw, NC
National Provider Identifier
1346820388
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5014317 Issued in NC
Practice address
1025 Bunker Hill Rd
Waxhaw, NC 28173-4574
Phone
(828) 781-6288
Fax
(704) 973-9142
NPI assigned
Apr 13, 2021
Last updated
Sep 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5014317 NC Primary

Addresses

Primary practice location

1025 Bunker Hill Rd
Waxhaw, NC 28173-4574

Mailing address

1025 Bunker Hill Rd
Waxhaw, NC 28173-4574
Phone (828) 781-6288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, DC, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210507000407 NC Practitioner - Nurse Practitioner 0345659140 Reassigns benefits to 6 organizations
I20230915002193 VA Practitioner - Nurse Practitioner 0345659140 Reassigns benefits to 2 organizations
I20240910000009 DC Practitioner - Nurse Practitioner 0345659140 Reassigns benefits to 1 organization
I20260219000119 SC Practitioner - Nurse Practitioner 0345659140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27523SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pac Services PC CurrentSince Aug 29, 2023 Accepting new patients
Monarch CurrentSince Mar 30, 2024 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 23, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince May 25, 2021 Accepting new patients
Opportunities Industrialization Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 29, 2023 Accepting new patients
Inpatient Consultants of North Carolina, PC Psychiatric/Mental Health CurrentSince May 25, 2021 Accepting new patients
Inpatient Consultants of North Carolina, PC Psychiatric/Mental Health CurrentSince May 25, 2021 Accepting new patients
Monarch Current Accepting new patients
Opportunities Industrialization Center, Inc CurrentSince Aug 1, 2024 Accepting new patients
Monarch CurrentSince Mar 30, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

3057 Freedom Dr
Charlotte, NC 28208
Phone (704) 334-2226

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1265 21st St NE
Hickory, NC 28601
Phone (828) 324-1313

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

90 Guardian Ct
Rocky Mount, NC 27804
Phone (252) 212-3350

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: ddavis1219865@direct.unc.nchie.net

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1346820388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BUNKER HILL RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281734574",
            "telephone_number": "828-781-6288",
            "fax_number": "704-973-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 BUNKER HILL RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281734574",
            "telephone_number": "828-781-6288",
            "fax_number": "704-973-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DENISE",
        "middle_name": "LYNNE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.