Individual provider Active NPI

Sara R Davis, PA-C

  • Physician Assistant
  • Asheboro, NC
National Provider Identifier
1720137995
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101805 Issued in NC
Practice address
350 N Cox St Ste 27
Asheboro, NC 27203-5514
Phone
(336) 629-6500
Fax
(336) 629-6900
NPI assigned
Jan 9, 2007
Last updated
Aug 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101805 NC Primary

Addresses

Primary practice location

350 N Cox St Ste 27
Asheboro, NC 27203-5514

Mailing address

350 N Cox St Ste 27
Asheboro, NC 27203-5514
Phone (336) 629-6500

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
I20041220000525 NC Practitioner - Physician Assistant 7911964184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 N Cox St
Suite 28
Asheboro, NC 27203-5514
Phone (336) 629-6500

520 Maple Ave
Suite B
Reidsville, NC 27320-4600
Phone (336) 634-3960

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Oct 7, 2018 Accepting new patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Oct 7, 2018 Accepting new patients
Allergy and Asthma Center of North Carolina, PA Past Accepting new patients

Locations

350 N Cox St
Ste 28
Asheboro, NC 27203
Phone (336) 626-6382

300 E Wendover Ave
Fl 3
Greensboro, NC 27401
Phone (336) 663-5059

719 Green Valley Rd
Ste 305
Greensboro, NC 27408
Phone (336) 272-3696

520 Maple Ave
Ste B
Reidsville, NC 27320
Phone (336) 634-3950

Organizations & group practices 4

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 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1720137995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N COX ST STE 27",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035514",
            "telephone_number": "336-629-6500",
            "fax_number": "336-629-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N COX ST STE 27",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035514",
            "telephone_number": "336-629-6500",
            "fax_number": "336-629-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SARA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.