Active NPI
Elizabeth Davidson, FNP
- Family Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5012619
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 647725-1 | NY | MD | Registered Nurse |
| 71017746A | IN | MD | Family Nurse Practitioner |
| 0038754 | OH | MD | Family Nurse Practitioner |
| 0024195992 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Post Acute Telehealth PC | Family | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.