Active NPI
Meredith Davis, LAT, ATC
- Athletic Trainer
- Charlotte, NC
National Provider Identifier
1568958684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4888
- Practice address
- 2826 Randolph Rd FL 2
Charlotte, NC 28211-1359 - Phone
- (704) 280-6844
- NPI assigned
- Jul 2, 2018
- Last updated
- Apr 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-4888 | NC | Primary |
Addresses
Primary practice location
2826 Randolph Rd FL 2
Charlotte, NC 28211-1359
Mailing address
2826 Randolph Rd FL 2
Charlotte, NC 28211-1359
Phone (704) 280-6844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000043564255 | Other | NC | LISENCURE |
| 1848111 | Other | VA | OPTIMA HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-4888 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1568958684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 RANDOLPH RD FL 2",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111359",
"telephone_number": "704-280-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2826 RANDOLPH RD FL 2",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111359",
"telephone_number": "704-280-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MEREDITH",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISENCURE",
"identifier": "000043564255",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "1848111",
"state": "VA"
}
],
"endpoints": [],
"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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.