Organization Active NPI

Davidson Family Medicine, P.a.

  • Family Medicine Physician
  • Davidson, NC
National Provider Identifier
1811958812
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVIDSON FAMILY MEDICINE, P.A.
Practice address
104 Knox Court
Suite 100
Davidson, NC 28036-4329
Phone
(704) 892-5454
Fax
(704) 892-5858
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Ms. Vone McDaniel
Title
Office Manager
Phone
(704) 892-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

104 Knox Court
Suite 100
Davidson, NC 28036-4329

Mailing address

PO Box 4329
Davidson, NC 28036-4329
Phone (704) 892-5454

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1811958812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4329",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280364329",
            "telephone_number": "704-892-5454",
            "fax_number": "704-892-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KNOX COURT",
            "address_2": "SUITE 100",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280364329",
            "telephone_number": "704-892-5454",
            "fax_number": "704-892-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "VONE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-892-5454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.