Individual provider Active NPI

Yves Laure Damis, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1538229679
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05119 Issued in NC
Practice address
1918 Randolph Rd Ste 400
Charlotte, NC 28207-1196
Phone
(704) 384-9437
Fax
(704) 384-9440
NPI assigned
Dec 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA051464 PA
Medical Physician Assistant 363AM0700X OA000867 PA
Medical Physician Assistant 363AM0700X 014480 NY
Medical Physician Assistant 363AM0700X 2509 CT
Physician Assistant 363A00000X 0010-05119 NC Primary

Addresses

Primary practice location

1918 Randolph Rd Ste 400
Charlotte, NC 28207-1196

Mailing address

640 Summit Crossing PL
Suite 200
Gastonia, NC 28054-2138
Phone (704) 671-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ydamis530743@direct.novanthealth.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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425000813 NC Practitioner - Physician Assistant 0840180071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 343-9800

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2509CTMDMedical Physician Assistant
MA051464PAMDMedical Physician Assistant
OA000867PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Feb 19, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 19, 2018 Accepting new patients
Caromont Medical Group Inc CurrentSince Apr 16, 2016 Accepting new patients
Caromont Medical Group Inc CurrentSince Apr 16, 2016 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Joel S. Goldberg Past Accepting new patients

Locations

1212 Spruce St
Ste 305A
Belmont, NC 28012
Phone (980) 834-5760

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

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

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

Interoperability endpoints

  • Direct secure messaging: ydamis530743@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1538229679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SUMMIT CROSSING PL",
            "address_2": "SUITE 200",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542138",
            "telephone_number": "704-671-5400",
            "fax_number": "704-671-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071196",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIS",
        "first_name": "YVES LAURE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051464",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA000867",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014480",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "2509",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ydamis530743@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1918 Randolph Rd Ste 400",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.