Individual provider Active NPI

Elizabeth Davidson, FNP

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1982945507
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012619 Issued in NC
Practice address
2668 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone
(469) 257-3500
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 647725-1 NY
Family Nurse Practitioner 363LF0000X 0024195992 VA
Family Nurse Practitioner 363LF0000X 0038754 OH
Family Nurse Practitioner 363LF0000X 5012619 NC Primary
Family Nurse Practitioner 363LF0000X 71017746A IN
Family Nurse Practitioner 363LF0000X 340792 NY

Addresses

Primary practice location

2668 Peters Creek Pkwy
Winston Salem, NC 27127-5655

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (469) 257-3500

Other practice location 1

10 E 102nd St
New York, NY 10029-0307
Phone (469) 257-3500

Other practice location 2

1470 Madison Ave
Hess Building/ BMT 3RD Floor
New York, NY 10029-6542
Phone (469) 257-3500

Other practice location 3

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (866) 849-0692

Other practice location 4

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (469) 257-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, MD, OH, VA, WV, DC, IN8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20171003004120 NY Practitioner - Nurse Practitioner 1658646526 Reassigns benefits to 1 organization
I20200220002260 NC Practitioner - Nurse Practitioner 1658646526 Reassigns benefits to 1 organization
I20251202003427 MD Practitioner - Nurse Practitioner 1658646526 Reassigns benefits to 1 organization
I20251203003447 OH Practitioner - Nurse Practitioner 1658646526 Reassigns benefits to 1 organization
I20260126000437 VA Practitioner - Nurse Practitioner 1658646526 Reassigns benefits to 1 organization
I20260203001065 WV Practitioner - Nurse Practitioner 1658646526 Reassigns benefits to 1 organization
I20260212003538 DC Practitioner - Nurse Practitioner 1658646526 Reassigns benefits to 1 organization
I20260220001713 IN Practitioner - Nurse Practitioner 1658646526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Practice addresses (Care Compare)

250 Flank Rd
Petersburg, VA 23805-9117
Phone (804) 861-2223

287 E S Blvd
Petersburg, VA 23805-2700
Phone (804) 733-1190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
647725-1NYMDRegistered Nurse
71017746AINMDFamily Nurse Practitioner
0038754OHMDFamily Nurse Practitioner
0024195992VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2017 Accepting new patients
Post Acute Telehealth PC Family CurrentSince Oct 20, 2025 Accepting new patients

Locations

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

10 E 102nd St
New York, NY 10029
Phone (212) 241-5656

1470 Madison Ave
Bldg Bmt
New York, NY 10029

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1982945507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "469-257-3500",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 PETERS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275655",
            "telephone_number": "469-257-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E 102nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100290307",
            "country_code": "US",
            "telephone_number": "469-257-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1470 Madison Ave",
            "address_2": "Hess Building/ BMT 3RD Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296542",
            "country_code": "US",
            "telephone_number": "469-257-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Tryon St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020213",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "469-257-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "647725-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195992",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038754",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012619",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017746A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.