SHELLIAN DAVIS (NPI# 1265960983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265960983 |
| Entity Type | Individual |
| Full Name | SHELLIAN DAVIS |
| Credential | DO |
| Practice Address |
201 Dale Earnhardt Blvd Ste 200 Kannapolis NC 28081-0308 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7049321155 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2020-03120 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
201 DALE EARNHARDT BLVD STE 200 |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28081-0308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539005 | Donna Childress | Internal Medicine | 201 Dale Earnhardt Blvd, Suite 200, Kannapolis, NC 28081-0308 | 2005-12-15 |
| 1588115976 | Kannapolis Internal Medicine | Clinic/Center | 201 Dale Earnhardt Blvd, Suite 200, Kannapolis, NC 28081-0303 | 2016-10-20 |
| 1699104844 | Union Medical Services LLC | Physiological Laboratory | 201 Dale Earnhardt Blvd, Suite 100, Kannapolis, NC 28081-0303 | 2013-11-08 |
| 1568899136 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 201 Dale Earnhardt Blvd, Ste 200, Kannapolis, NC 28081-0308 | 2013-09-27 |
| 1861667388 | Cabarrus Pediatric Practice, Inc. | Pediatrics | 201 Dale Earnhardt Blvd, Suite 201, Kannapolis, NC 28081-0303 | 2008-04-25 |
| 1518139732 | Lisa Watson | Nurse Practitioner | 201 Dale Earnhardt Blvd, Ste 201, Kannapolis, NC 28081-0308 | 2008-03-27 |
| 1689620957 | Carolinas Medical Center-northeast | Internal Medicine | 201 Dale Earnhardt Blvd, Suite 200, Kannapolis, NC 28083-0303 | 2006-05-26 |
| 1659324333 | Kerry Bianchi | Internal Medicine | 201 Dale Earnhardt Blvd, Ste 200, Kannapolis, NC 28081-0308 | 2006-05-17 |
| 1558338210 | Linda Thomas | Nurse Practitioner | 201 Dale Earnhardt Blvd, Ste 200, Kannapolis, NC 28081-0308 | 2006-03-02 |
| 1790757763 | Harold Thomas IIi | Internal Medicine | 201 Dale Earnhardt Blvd, Ste 200, Kannapolis, NC 28081-0308 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678315 | Cabarrus Al Holdings, LLC | Non-emergency Medical Transport (VAN) | 4968 Milestone Ave, Kannapolis, NC 28081 | 2019-06-18 |
| 1245755222 | Jennifer Ann Drisker | Social Worker | 119 West Avenue, Kannapolis, NC 28081 | 2017-08-10 |
| 1720539059 | Bonnie Knox | Non-emergency Medical Transport (VAN) | 902 South Main St, Kannapolis, NC 28081 | 2016-10-21 |
| 1659643880 | Jonathan Redmond | Occupational Therapy Assistant | 7555 Tuckaseegee Rd, Kannapolis, NC 28081 | 2012-02-03 |
| 1245465145 | Margot C Dragon | Acupuncturist | 7560 Crestwood Drive, Kannapolis, NC 28081 | 2009-05-20 |
| 1154542124 | Robert Lee Dayvault Jr. | Pharmacist | 1113 N. Main St., Kannapolis, NC 28081 | 2007-05-01 |
| 1265573745 | Cardinal Innovations Healthcare Solutions | Community/Behavioral Health | 4855 Milestone Avenue, Kannapolis, NC 28081 | 2007-02-09 |
| 1245331016 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 135 Dale Earnhardt Boulevard, Kannapolis, NC 28081 | 2006-09-26 |
| 1003844887 | Randal G Troutman | Chiropractor | 1715 S. Main Street, Kannapolis, NC 28081 | 2006-06-29 |
| 1457332728 | James M Bowman | Pharmacist | 1113 N Main St, Kannapolis, NC 28081 | 2005-11-14 |
| Find all providers in zip 28081 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952410110 | Julius Kenny Tokunboh | Internal Medicine | 1961 Dale Earnhardt Blvd, Kannapolis, NC 28083-2105 | 2006-08-30 |
| 1023080934 | Robert Moser | Internal Medicine | 559 Jackson Park Rd, Kannapolis Int Med, Kannapolis, NC 28083-3657 | 2006-02-03 |
| 1740251875 | Beverly J. Lessane | Internal Medicine | 521 N Cannon Blvd, Suite B, Kannapolis, NC 28083-3801 | 2006-01-27 |
| 1477539005 | Donna Childress | Internal Medicine | 201 Dale Earnhardt Blvd, Suite 200, Kannapolis, NC 28081-0308 | 2005-12-15 |
| 1568899136 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 201 Dale Earnhardt Blvd, Ste 200, Kannapolis, NC 28081-0308 | 2013-09-27 |
| 1811250533 | Carolinas Physicians Network Inc | Internal Medicine | 5003 Hospice Ln, Kannapolis, NC 28081-5784 | 2012-06-18 |
| 1609978824 | Grace Medical Clinics P.a. | Internal Medicine | 1961 Dale Earnhardt Blvd, Kannapolis, NC 28083-2105 | 2006-09-01 |
| 1427080779 | Institute for Divine Health | Internal Medicine | 521 N Cannon Blvd, B, Kannapolis, NC 28083-3801 | 2006-07-07 |
| 1689620957 | Carolinas Medical Center-northeast | Internal Medicine | 201 Dale Earnhardt Blvd, Suite 200, Kannapolis, NC 28083-0303 | 2006-05-26 |
| 1659324333 | Kerry Bianchi | Internal Medicine | 201 Dale Earnhardt Blvd, Ste 200, Kannapolis, NC 28081-0308 | 2006-05-17 |
| Find all providers in KANNAPOLIS | ||||
| City | KANNAPOLIS |
| Zip Code | 28081 |
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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.