Pamelia Elaine Faison-Davis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018431 Issued in NC

Practice address

100 Loop St
Clinton, NC 28328-4062

Phone

(910) 596-2221

Fax

(910) 596-2229

NPI assigned

Jul 8, 2020

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advance Behavioral Center, Inc.

  • Adult Mental Health Clinic/Center
  • Sanford, NC
  • NPI 1730310533
  NPD

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1427676253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LOOP ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284062",
            "telephone_number": "910-596-2221",
            "fax_number": "910-596-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LOOP ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284062",
            "telephone_number": "910-596-2221",
            "fax_number": "910-596-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Chatham St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304801",
            "country_code": "US",
            "telephone_number": "919-777-0214",
            "fax_number": "919-777-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAISON-DAVIS",
        "first_name": "PAMELIA",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth D Bryan MD PA
• Lia Kotsopoulos Ernst, M.ED. CCC-SLP
• Dianne Kennedy Everett
• Warren Umandap Everett, PA
• Sarah Ashley Ezzell, LAC
• Family First Support Center Inc
• Family Medical Supply LLC
• Joshua Ferrell, M.D.
• Susie Fitzgerald, DO
• Andres R Fleury-Guzman, MD

• Clinical Social Worker in Clinton, NC
• Providers in Clinton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.