Active NPI
Megan Maria Davies, MD
- Family Medicine Physician
- Raleigh, NC
National Provider Identifier
1770068470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36095
- Practice address
- 1390 Capital Blvd
Raleigh, NC 27603-1118 - Phone
- (919) 836-1642
- NPI assigned
- Sep 27, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36095 | NC | Primary |
Addresses
Primary practice location
1390 Capital Blvd
Raleigh, NC 27603-1118
Mailing address
4416 Wingate Dr
Raleigh, NC 27609-6066
Phone (919) 703-8631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Other | DO NOT HAVE ANY SUCH NUMBERS |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36095 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Ministries | Past | Accepting new patients | |
| Urban Ministries of Wake County, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18383/brand/1/csg/1/fhir/r4
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.
-
- Voluntary or Charitable Agency
- Raleigh, NC
- NPI 1205211471
-
dba Open Door Clinic
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1740527217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1770068470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 WINGATE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096066",
"telephone_number": "919-703-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 CAPITAL BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031118",
"telephone_number": "919-836-1642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "MEGAN",
"middle_name": "MARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "36095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO NOT HAVE ANY SUCH NUMBERS",
"identifier": "1",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.