JESSICA SUSAN WATERS DAVIS (NPI# 1114363132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114363132 |
| Entity Type | Individual |
| Full Name | JESSICA SUSAN WATERS DAVIS |
| Credential | MD |
| Practice Address |
322 Main St Prospect Hill NC 27314-9438 |
| Mailing Address |
430 Waterstone Dr Hillsborough NC 27278-9078 |
| Practice Telephone | 3365623311 |
| Practice Fax Number | 3365624444 |
| Mailing Telephone | 9842152095 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2016-01549 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2016-01549 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
322 MAIN ST |
| City | PROSPECT HILL |
| State | NC |
| Zip Code | 27314-9438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137081 | Paige Lauren Hunter Fricke | Physician Assistant | 322 Main St, Prospect Hill, NC 27314-9438 | 2016-07-11 |
| 1497187595 | Piedmont Health Services, Inc. | Clinic/Center | 322 Main St, Prospect Hill, NC 27314-9438 | 2013-07-31 |
| 1336409648 | Kelly Draughn Clayton | Pharmacist | 322 Main St, Prospect Hill, NC 27314 | 2012-05-21 |
| 1699982983 | Sean Angela Williams Meltzer | Dentist | 322 Main St, Prospect Hill, NC 27314-9438 | 2007-05-17 |
| 1457411167 | Katrina Chaundani Mattison | Dentist | 322 Main St, Prospect Hill, NC 27314-9438 | 2006-12-11 |
| 1154425890 | Piedmont Health Services, Inc | Clinic/Center | 322 Main St, Prospect Hill, NC 27314-9438 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060571 | Audrey Kemp | Dentist | 322 Main Street, Prospect Hill, NC 27314 | 2007-02-15 |
| 1801977277 | Linda Bongiorno Brown | Nurse Practitioner | 140 Main St., Prospect Hill, NC 27314 | 2006-10-18 |
| 1104185347 | Caroline Collins Roberts | Family Medicine | 322 Main Street, Prospect Hill, NC 27314 | 2012-05-09 |
| 1346478526 | Jodi M Roque | Family Medicine | 322 Main Street, Piedmont Health Services, Prospect Hill, NC 27314 | 2009-06-26 |
| 1699926642 | Elizabeth Ann Burch | Social Worker | 140 Main Street, Prospect Hill, NC 27314 | 2008-10-08 |
| 1982826491 | Joan Floyd | Pharmacist | 140 Main Street, Prospect Hill, NC 27314 | 2007-05-03 |
| 1558492439 | Piedmont Health Services, Inc. | Pharmacy | 322 Main Street, Prospect Hill, NC 27314 | 2007-03-09 |
| 1841644713 | Christina Olson Cronk | Family Medicine | Prospect Hill Community Health Center, 322 Main St, Prospect Hill, NC 27314-0001 | 2016-04-18 |
| 1083889745 | Gregory Val Wheatley | Dietitian, Registered | 140 Main Street, Prospect Hill, NC 27314-0004 | 2008-04-24 |
| 1447390133 | Homes That Care, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2198 Nc Highway 49 N, Prospect Hill, NC 27314-9324 | 2007-02-08 |
| Find all providers in zip 27314 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841644713 | Christina Olson Cronk | Family Medicine | Prospect Hill Community Health Center, 322 Main St, Prospect Hill, NC 27314-0001 | 2016-04-18 |
| 1104185347 | Caroline Collins Roberts | Family Medicine | 322 Main Street, Prospect Hill, NC 27314 | 2012-05-09 |
| 1346478526 | Jodi M Roque | Family Medicine | 322 Main Street, Piedmont Health Services, Prospect Hill, NC 27314 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | PROSPECT HILL |
| Zip Code | 27314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.