Individual provider Active NPI

Angela Catherine Davis, FNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1851768352
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007908 Issued in NC
Practice address
7804 Fairview Rd Ste a
Charlotte, NC 28226-4999
Phone
(704) 316-3136
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5007908 NC
Nurse Practitioner 363L00000X 5007908 NC Primary

Addresses

Primary practice location

7804 Fairview Rd Ste a
Charlotte, NC 28226-4999

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268

Other practice location 1

12830 Walker Branch Rd
Charlotte, NC 28273-8850
Phone (704) 583-2601

Other practice location 2

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adavis321227@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005000727 NC Practitioner - Nurse Practitioner 8921316381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

7804 Fairview Rd a
Charlotte, NC 28226-4999
Phone (704) 316-3136

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jun 25, 2018 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Feb 27, 2016 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 25, 2018 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

9841 Northlake Centre Pkwy
Charlotte, NC 28216
Phone (704) 526-3648

12830 Walker Branch Rd
Charlotte, NC 28273
Phone (704) 583-0341

7804 Fairview Rd
Ste A
Charlotte, NC 28226
Phone (704) 316-3136

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

12000 Retail Dr
Wake Forest, NC 27587
Phone (919) 761-1001

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1851768352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "844-266-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 FAIRVIEW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264999",
            "telephone_number": "704-316-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12830 Walker Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282738850",
            "country_code": "US",
            "telephone_number": "704-583-2601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10810 Mallard Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28262",
            "country_code": "US",
            "telephone_number": "704-510-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007908",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adavis321227@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "12830 Walker Branch Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282738850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.