GRANT GARNER DAVIDSON


Address: 1 Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: 3367162011

GRANT GARNER DAVIDSON (NPI# 1336708882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336708882
Entity Type Individual
Full Name GRANT GARNER DAVIDSON
Credential PA-C
Practice Address 1 Medical Center Blvd
Winston Salem
NC 27157-0001
Mailing Address 4766 Eagle Path
Winston Salem
NC 27127-6816
Practice Telephone 3367162011
Mailing Telephone 8034861066
Enumeration Date 2019-06-09
Last Update Date 2019-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical 		1161876 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers GRANT DAVIDSON

NPI Name Taxonomy Address Enumeration
1164805511 Grant A Davidson Dentist 1874 N Hunters Rdg, Suite 1, Fayetteville, AR 72701-2774 2015-07-02

Office Location

Street Address 1 MEDICAL CENTER BLVD
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801495387 Gillian Grace Winter Internal Medicine 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-10-26
1679188122 Nicholas Alexander Perri Nurse Anesthetist, Certified Registered 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-11
1760096069 Taylor Victoria Ellen Mcghee Pharmacist 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-03
1083223655 Ruth Barber Registered Nurse 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-07-29
1619594777 Elizabeth Grace St. Amand Internal Medicine 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-07-06
1932725116 Maxwell Joseph Brenner Student in an Organized Health Care Education/Training Program 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-23
1184249393 Adaku Anike Nurse Practitioner 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-12
1659996445 Christie Alexa Smesko Physician Assistant 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-08
1093337081 Geoffrey Alexander Reid Jones Physician Assistant 1 Medical Center Blvd, Winston Salem, NC 27157-6769 2020-05-12
1306468608 Emmaline Katherine Stilp Physician Assistant 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-05-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629692439 Julie Anne Augustine Physician Assistant 718 S Green St, Winston Salem, NC 27101-5112 2020-06-08
1932674090 Erin Baxter Caldwell Physician Assistant 2953 Buena Vista Rd, Winston Salem, NC 27106-5724 2018-10-04
1376054106 Tara Mckenzie Physician Assistant 1 Medical Center Blvd Hosptial Medicine, Winston Salem, NC 27157-0001 2017-10-19
1154866382 Camilla Potts Leonard Physician Assistant 503 Thurston St, Winston Salem, NC 27103-1609 2016-12-26
1427591379 Darrell Justin Ratcliffe Physician Assistant 1500 W Academy St, Winston Salem, NC 27103-3849 2016-11-27
1881825917 Mark Elno Archambault Physician Assistant Department of Physician Assistant Studies, Medical Center Blvd, Winston Salem, NC 27157-1006 2009-08-06
1659519551 John Clifton Harper Jr. Physician Assistant 206 W Clemmonsville Rd, Winston Salem, NC 27127-5124 2009-01-30
1710070602 John Joseph Dewar Sr. Physician Assistant 1399 Ashleybrook Ln Ste 100, Winston Salem, NC 27103-2961 2006-10-02
1871515866 Beth Gurley Physician Assistant 765 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103-7101 2006-07-25
1801845722 Mark A Pane Physician Assistant 3333 Brookview Hills Blvd Ste 104, Winston Salem, NC 27103-5661 2006-05-08
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27157

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Dataset Information

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.

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