Individual provider Active NPI

Gina Cobb Davis, FNP-C

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1992235642
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009680 Issued in NC
Practice address
3288 Robinhood Rd Ste 202
Winston Salem, NC 27106-5464
Phone
(336) 768-3335
Fax
(336) 768-4171
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 189019 NC
Family Nurse Practitioner 363LF0000X 5009680 NC Primary

Addresses

Primary practice location

3288 Robinhood Rd Ste 202
Winston Salem, NC 27106-5464

Mailing address

3288 Robinhood Rd Ste 202
Winston Salem, NC 27106-5464
Phone (336) 768-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 1, 2018 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
189019NCMDRegistered Nurse
5009680NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robinhood Integrative Health, PLLC PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 1

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1992235642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD STE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065464",
            "telephone_number": "336-768-3335",
            "fax_number": "336-768-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD STE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065464",
            "telephone_number": "336-768-3335",
            "fax_number": "336-768-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GINA",
        "middle_name": "COBB",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "189019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.