Organization Active NPI

Raleigh Holistic Healthcare

Doing business as Autism Treatment Center of Raleigh

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1568076222
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RALEIGH HOLISTIC HEALTHCARE
Doing business as
Autism Treatment Center of Raleigh
Practice address
875 Walnut St Ste 275-9
Cary, NC 27511-4215
Phone
(919) 749-6288
Fax
(919) 443-1268
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NOVLET DAVIS MD PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Dr. Novlet Jarrett Davis, MDNPI 1003802083
Title
Owner
Phone
(919) 749-6288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

875 Walnut St Ste 275-9
Cary, NC 27511-4215

Mailing address

5109 Sunset Fairways Dr
Holly Springs, NC 27540-7862
Phone (336) 740-2160

Other names 1

  • Autism Treatment Center of Raleigh Doing business as

National Provider Directory

National Provider Directory
Part of
Raleigh Holistic Healthcare

Locations

875 Walnut St
Ste 2759
Cary, NC 27511
Phone (919) 749-6288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1568076222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 SUNSET FAIRWAYS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407862",
            "telephone_number": "336-740-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WALNUT ST STE 275-9",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114215",
            "telephone_number": "919-749-6288",
            "fax_number": "919-443-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH HOLISTIC HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVLET DAVIS MD PLLC",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NOVLET",
        "authorized_official_middle_name": "JARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-749-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Treatment Center of Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.