Individual provider Active NPI

Teresa Yvette Davis, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1508193780
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
116397 Issued in NC
Practice address
1111 Circle Dr
Monroe, NC 28112-5834
Phone
(704) 764-1818
NPI assigned
Nov 10, 2009
Reactivated
Jun 29, 2026
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0809225 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 116397 NC Primary

Addresses

Primary practice location

1111 Circle Dr
Monroe, NC 28112-5834

Mailing address

1911 Silk Pond Dr
Waxhaw, NC 28173-7348
Phone (704) 502-3046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1111 Circle Dr
Monroe, NC 28112-5834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4170SCMDPhysician Assistant
F0809225NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Family Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Jun 13, 2023 Accepting new patients
Apogee Medical Group South Carolina PastSince Oct 8, 2023 Accepting new patients
Southern Pain & Spine Specialists PLLC PastSince Jan 1, 2015 Accepting new patients
Lancaster Clinic Corp Past Accepting new patients

Locations

1111 Circle Dr
Monroe, NC 28112
Phone (704) 289-8537

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1508193780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 SILK POND DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737348",
            "telephone_number": "704-502-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CIRCLE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125834",
            "telephone_number": "704-764-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TERESA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "deactivation_date": "2026-05-20",
        "reactivation_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F0809225",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "116397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.