Individual provider Active NPI

Kelly Meryl Davis, M.D.

  • Obstetrics & Gynecology Physician
  • Greensboro, NC
National Provider Identifier
1427477348
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2018-01426 Issued in NC
Practice address
930 3Rd St
Greensboro, NC 27405-6967
Phone
(336) 890-3200
Fax
(336) 890-3290
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 2018-01426 NC Primary

Addresses

Primary practice location

930 3Rd St
Greensboro, NC 27405-6967

Mailing address

291 Berkley Rd
Apt a
Fairfield, CT 06825-4419
Phone (214) 449-5360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdavis451806@direct.conehealth.com 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
I20181002003886 NC Practitioner - Obstetrics/Gynecology 6608128640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 379-4307

1635 NC Hwy 66 S 175
Kernersville, NC 27284-3705
Phone (336) 993-6120

1635 NC Hwy 66 S 210
Kernersville, NC 27284-3705
Phone (336) 992-1770

520 N Elam Ave
Greensboro, NC 27403-1127

912 3Rd St
Suite 102
Greensboro, NC 27405-6967
Phone (336) 271-2054

930 3Rd St
Greensboro, NC 27405-6967
Phone (336) 890-3200

945 Golf House W Rd
Whitsett, NC 27377-9260
Phone (336) 449-4946

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-01426NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation Obstetrics & Gynecology CurrentSince Sep 17, 2018 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1635 NC Highway 66 S
Ste 245
Kernersville, NC 27284
Phone (336) 992-5120

Interoperability endpoints

  • Direct secure messaging: kdavis451806@direct.conehealth.com

Organizations & group practices 2

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 1

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1427477348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 BERKLEY RD",
            "address_2": "APT A",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254419",
            "telephone_number": "214-449-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 3RD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-890-3200",
            "fax_number": "336-890-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELLY",
        "middle_name": "MERYL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2018-01426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdavis451806@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "930 3rd St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274056967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.