Individual provider Active NPI

Heather L Davis, DO

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1528260981
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
128405 Issued in NC
Practice address
2523 Delaney Ave
Wilmington, NC 28403-6003
Phone
(910) 763-5522
Fax
(910) 763-0413
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2008-00569 NC
Family Medicine Physician 207Q00000X 128405 NC Primary

Addresses

Primary practice location

2523 Delaney Ave
Wilmington, NC 28403-6003

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 763-5522

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 772-9202 ext. 402

Other practice location 2

240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (910) 721-2070

Other practice location 3

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 667-2606

Other names 1

  • Heather Leigh Davis Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hdavis6457@direct.nhrmc.org Direct
Direct Messaging Address hdavis6457@direct.nhrmc.org

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
I20081202000716 NC Practitioner - HospitalistPractitioner - Family Practice 6406917905 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128405NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health New Hanover Regional Medical Center LLC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Pender Memorial Hospital Incorporated Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Hospitalist CurrentSince Nov 27, 2022 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Current Accepting new patients
Pender Memorial Hospital, Incorporated CurrentSince Jul 15, 2016 Accepting new patients
Pender Memorial Hospital Incorporated CurrentSince Jul 15, 2016 Accepting new patients
Island Family Medicine, PLLC Family Medicine CurrentSince Dec 23, 2010 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Feb 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Nov 27, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 27, 2022 Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

2540 NC Highway 210 E
Hampstead, NC 28443
Phone (910) 329-9916

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

13567 NC Highway 50
Ste A
Surf City, NC 28445
Phone (910) 329-9916

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2221 S 17th St
Wilmington, NC 28401
Phone (910) 662-7720

2523 Delaney Ave
Wilmington, NC 28403
Phone (910) 763-5522

5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2452/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hdavis1104528@direct.novanthealth.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1528260981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-763-5522",
            "fax_number": "910-763-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036003",
            "telephone_number": "910-763-5522",
            "fax_number": "910-763-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-772-9202 x402",
            "fax_number": "910-772-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Hospital Dr NE",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284228346",
            "country_code": "US",
            "telephone_number": "910-721-2070",
            "fax_number": "910-721-2074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-667-2606",
            "fax_number": "910-815-5698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-00569",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "128405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hdavis6457@direct.nhrmc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hdavis6457@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "2523 Delaney Ave",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284036003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DAVIS",
            "middle_name": "LEIGH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.