Individual provider Active NPI

Alexis Davis

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1871721134
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2018-02277 Issued in NC
Practice address
10650 Park Rd
Suite 420
Charlotte, NC 28210-8538
Phone
(704) 302-8700
NPI assigned
Jun 25, 2009
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018-02277 NC Primary

Addresses

Primary practice location

10650 Park Rd
Suite 420
Charlotte, NC 28210-8538

Mailing address

10650 Park Rd
Charlotte, NC 28210-8538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181226000455 NC Practitioner - Internal Medicine 9032366497 Reassigns benefits to 1 organization
I20211216003060 DC Practitioner - Internal Medicine 9032366497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018-02277NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Community Clinic, Inc CurrentSince Nov 1, 2021 Accepting new patients
Carolinas Medical Center Internal Medicine CurrentSince Aug 25, 2019 Accepting new patients
Community Clinic, Inc. Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Carolinas Medical Center CurrentSince Aug 25, 2019 Accepting new patients
Medstar Health Anesthesia Services B, LLC PastSince Jul 1, 2007 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (240) 624-2278

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10650 Park Rd
Charlotte, NC 28210
Phone (704) 667-0337

10650 Park Rd
Ste 420
Charlotte, NC 28210
Phone (704) 302-7800

1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700

Interoperability endpoints

  • Direct secure messaging: alexis.davis@ccicares.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1871721134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 PARK RD",
            "address_2": "SUITE 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108538",
            "telephone_number": "704-302-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-02277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.