Active NPI
Charles Davant III, MD
- Family Medicine Physician
- Blowing Rock, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17944
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8927131 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 Inc
Practice addresses (Care Compare)
30 13TH Ave NW
Hickory, NC 28601-3765
Phone (828) 324-0100
Hospital & facility affiliations
- Caldwell Memorial Hospital
- Watauga Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17944 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell Memorial Hospital, Inc. | Current | Accepting new patients | |
| Caldwell Memorial Hospital, Inc. | Current | Accepting new patients | |
| Caldwell Memorial Hospital, Inc | Current | Accepting new patients | |
| Caldwell Memorial Hospital Inc. | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Lenoir, NC
- NPI 1477839108
-
- Internal Medicine Physician
- Hickory, NC
- NPI 1417661976
-
- Diagnostic Radiology Physician
- Lenoir, NC
- NPI 1255221180
-
- Geriatric Medicine (Family Medicine) Physician
- Blowing Rock, NC
- NPI 1578949079
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lenoir, NC
- NPI 1114974029
-
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.