NPIMap

Organization Active NPI

Davie Medical Center

Doing business as Atrium Health Davie Medicine Center

  • Home Health Agency
  • Bermuda Run, NC
National Provider Identifier
1962575860
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1029 Issued in NC
Legal business name
DAVIE MEDICAL CENTER
Doing business as
Atrium Health Davie Medicine Center
Davie County Hospital (CAP Program)
Practice address
329 NC Highway 801 N
Bermuda Run, NC 27006-7905
Phone
(336) 998-1300
NPI assigned
Nov 16, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Chad J Brown
Title
President, Davie Medical Center
Phone
(336) 713-4944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1029 NC Primary

Addresses

Primary practice location

329 NC Highway 801 N
Bermuda Run, NC 27006-7905

Mailing address

223 Hospital St
Mocksville, NC 27028-2038
Phone (336) 702-5500

Other practice location 1

223 Hospital St
Mocksville, NC 27028-2038
Phone (336) 702-5500

Other identifiers 2

IdentifierTypeStateIssuer
3409627MedicaidNC
3409383MedicaidNC

Other names 2

  • Atrium Health Davie Medicine Center Doing business as
  • Davie County Hospital (CAP Program) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davie County Emergency Health Corp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

223 Hospital St
Mocksville, NC 27028
Phone (336) 751-8100

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1962575860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 HOSPITAL ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282038",
            "telephone_number": "336-702-5500",
            "fax_number": "336-702-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NC HIGHWAY 801 N",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067905",
            "telephone_number": "336-998-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282038",
            "country_code": "US",
            "telephone_number": "336-702-5500",
            "fax_number": "336-702-5701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, DAVIE MEDICAL CENTER",
        "authorized_official_telephone_number": "336-713-4944"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409627",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409383",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Davie Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davie County Hospital (CAP Program)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davie County Hospital (CAP Program)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bermuda Run, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.