Gerald Macon Davis, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

88 Issued in NC

Practice address

1703 Country Club Rd
Suite 204
Jacksonville, NC 28546-6008

Phone

(910) 347-3010

Fax

(910) 347-3201

NPI assigned

Dec 8, 2009

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Carolina Psychological and Psychiatric Health SRVS, PA

  • Psychologist
  • Jacksonville, NC
  • NPI 1770561193
  NPD (past)
• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1437488236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466008",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466008",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GERALD",
        "middle_name": "MACON",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Davis
• Andrew E Davis, PTA
• Beth Ann Davis, MPA, RD, LDN
• Cenaya Davis
• Eddie Bee Davis Jr.
• Gillian Davis, LCSWA
• Haylie Davis, CCC-SLP
• Jessica Forys Davis, LCMHC, LCAS-A
• Jessica Jayne Davis, LMT
• Leon D Davis, M.D.

• Marriage & Family Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.