Sara R Davis, PA-C
Individual provider Active NPI Physician Assistant · Asheboro, NC
NPI 1720137995 · NPPES record last updated Aug 3, 2011
Key facts
- NPI
- 1720137995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 101805 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Moses Cone Affiliated Physicians, Inc.
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
- Randolph Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041220000525 | NC | Practitioner - Physician Assistant | 7911964184 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101805 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Affiliated Physicians, Inc. | Current |
Accepting new patients | |
| Moses Cone Affiliated Physicians, Inc. | Current |
Accepting new patients |
Locations
350 N Cox St
Ste 28
Asheboro, NC 27203
Phone (336) 626-6382
719 Green Valley Rd
Ste 305
Greensboro, NC 27408
Phone (336) 272-3696
300 E Wendover Ave
Fl 3
Greensboro, NC 27401
Phone (336) 663-5059
520 Maple Ave
Ste B
Reidsville, NC 27320
Phone (336) 634-3950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101805 | NC | Yes |
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
Other providers in Asheboro, NC
- Daniel Max & Marcandrea LLC
- John Robert Darwin
- David B Malin DDS
- Casonja Davis
- Dantre Davis
- Wendy L Davis
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
All providers in Asheboro, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.