Individual provider Active NPI

Charles Davant III, MD

  • Family Medicine Physician
  • Blowing Rock, NC
National Provider Identifier
1396709176
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17944 Issued in NC
Practice address
8439 Valley Blvd.
Blowing Rock, NC 28605-9052
Phone
(828) 295-3116
Fax
(828) 295-4388
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17944 NC Primary

Addresses

Primary practice location

8439 Valley Blvd.
Blowing Rock, NC 28605-9052

Mailing address

321 Mulberry St SW
Medical Staff Services
Lenoir, NC 28645-5720
Phone (828) 757-5965

Other identifiers 1

IdentifierTypeStateIssuer
8927131MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdavant143024@direct.UNC.nchie.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818001422 NC Practitioner - Family PracticePractitioner - Geriatric Medicine 0840261665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians

Practice addresses (Care Compare)

30 13TH Ave NW
Hickory, NC 28601-3765
Phone (828) 324-0100

Hospital & facility affiliations

  • Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17944NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc. CurrentSince Oct 13, 2015 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Jun 20, 2025 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Oct 13, 2015 Accepting new patients
Caldwell Memorial Hospital, Inc Family Medicine Past Accepting new patients

Locations

8439 Valley Blvd
Blowing Rock, NC 28605
Phone (828) 295-3116

30 13th Ave NW
Hickory, NC 28601
Phone (828) 324-0100

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

1731 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-3362

Interoperability endpoints

  • Direct secure messaging: cdavant143024@direct.unc.nchie.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1396709176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720",
            "telephone_number": "828-757-5965",
            "fax_number": "828-757-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 VALLEY BLVD.",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286059052",
            "telephone_number": "828-295-3116",
            "fax_number": "828-295-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVANT",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "17944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8927131",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavant143024@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "8439 Valley Blvd.",
            "city": "Blowing Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286059052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blowing Rock, NC

Sources for this page

Verify at the official NPI Registry.