Active NPI
Destiny D Folk, MD
- Emergency Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01092627A
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5871 - Phone
- (704) 355-3181
- NPI assigned
- Mar 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 01092627A | IN | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5871
Mailing address
6025 Caledonia St
Raleigh, NC 27609-3625
Phone (919) 610-6361
Other practice location 1
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 639-6671
Other practice location 2
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300090068 | Medicaid | IN | |
| 1104198199 | Other | IN | ANTHEM PTAN |
Other names 1
- Destiny Davis
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfolk@direct.iuhealth.org | Direct | |
| Direct Messaging Address | dfolk@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Eskenazi Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01092627A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Icem-Wishard LLC | Emergency Medicine | Current | Accepting new patients |
Locations
5911 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- dfolk130372@direct.eskenazihealth.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1629304134
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1740867936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 CALEDONIA ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093625",
"telephone_number": "919-610-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035871",
"telephone_number": "704-355-3181"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025187",
"country_code": "US",
"telephone_number": "317-639-6671",
"fax_number": "317-963-5492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOLK",
"first_name": "DESTINY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01092627A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300090068",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1104198199",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfolk@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025187",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfolk@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DESTINY",
"last_name": "DAVIS",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.