Active NPI
Claudian J Davis, DPT
- Geriatric Physical Therapist
- Charlotte, NC
National Provider Identifier
1811434129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- P14680
- Practice address
- 8208 McCarron Way
Charlotte, NC 28215-8716 - Phone
- (704) 565-9192
- Fax
- (844) 230-6504
- NPI assigned
- Jan 24, 2017
- Last updated
- Jan 4, 2019
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | P14680 | NC | Primary |
Addresses
Primary practice location
8208 McCarron Way
Charlotte, NC 28215-8716
Mailing address
8208 McCarron Way
Charlotte, NC 28215-8716
Phone (704) 565-9192
Other names 1
- Dr. Claudian J Edmondson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chma of NC | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
6047 Tyvola Glen Cir
Charlotte, NC 28217
Phone (203) 238-7754
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1982364469
-
- Physical Therapist
- Charlotte, NC
- NPI 1487127262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1811434129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8208 MCCARRON WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158716",
"telephone_number": "704-565-9192",
"fax_number": "844-230-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8208 MCCARRON WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158716",
"telephone_number": "704-565-9192",
"fax_number": "844-230-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CLAUDIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NC",
"license": "P14680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAUDIAN",
"last_name": "EDMONDSON",
"middle_name": "J",
"prefix": "DR.",
"credential": "DPT",
"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 Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.