Active NPI
Yves Laure Damis, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05119
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2509 | CT | MD | Medical Physician Assistant |
| MA051464 | PA | MD | Medical Physician Assistant |
| OA000867 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | 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
- 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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
dba CaroMont Family Medicine
- Family Medicine Physician
- Gastonia, NC
- NPI 1972217982
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
dba Novant Health Salisbury Urology
- Urology Physician
- Salisbury, NC
- NPI 1275918138
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Dermatology
- Dermatology Physician
- Charlotte, NC
- NPI 1205481009
-
- Family Medicine Physician
- Boothwyn, PA
- NPI 1972704971
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.