Carol Davison, RN, BSN

Key facts

NPI

1629520242

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Registered Nurse 163WC1500X

License

RN .47558 R (SC)

Practice address

531 Lafayette Cir
Georgetown, SC 29440-2569

Phone

(843) 527-1013

NPI assigned

Oct 31, 2016

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 31, 2016.

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1629520242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 LAFAYETTE CIR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402569",
            "telephone_number": "843-527-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 LAFAYETTE CIR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402569",
            "telephone_number": "843-527-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "CAROL",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "RN .47558 R",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "RN .47558 R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

• David Leo Cyr, RPH
• Otto I Czechner, DO
• Janese Daniels, BS
• Kelli S Daughtry
• Gerald Allen Davidson, BA, BSN, MSHS, CRNA
• Robert Edwin Deane, DMD
• Lillianne Marie Lewis Debnam, MD, MPH
• Richard E. Dechamplain, M.D.
• Pamela Jean Dechellis, R.PH
• Diana Dennison

All providers in Georgetown, SC · Community Health Registered Nurse in South Carolina