THOMAS W. DAVIS IV (NPI# 1457331878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457331878 |
| Entity Type | Individual |
| Full Name | THOMAS W. DAVIS IV |
| Credential | PHD |
| Practice Address |
250 Charlois Blvd Dba Winston-salem Healthcare Winston Salem NC 27103-1508 |
| Mailing Address |
2000 Frontis Plaza Blvd Ste 200 (attn) Forsyth Medical Group Winston Salem NC 27103-5616 |
| Practice Telephone | 3367181000 |
| Practice Fax Number | 3367181050 |
| Mailing Telephone | 3362772435 |
| Mailing Fax Number | 3362779275 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 742 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150019 | Thomas Raymond Davis | Behavior Technician | 916 E Rezanof Dr, Kodiak, AK 99615-6724 | 2019-02-12 |
| 1720332463 | Thomas Davis | Respiratory Therapist, Registered | 505 Annette Ave, Interlachen, FL 32148-5106 | 2012-11-02 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1831474337 | Thomas P Davis | Pharmacist | 539 E Main St, Yanceyville, NC 27379 | 2011-10-15 |
| 1891019154 | Thomas L Davis | Social Worker | 201 Johnston St, Suite 300, Alexandria, LA 71301-8388 | 2010-03-16 |
| 1104148543 | Thomas Porter Davis | Family Medicine | 18520 Barnesville Rd, Dickerson, MD 20842-9791 | 2010-02-26 |
| 1497085005 | Thomas Bruce Davis | Anesthesiology | 11313 Lost Tree Way, North Palm Beach, FL 33408-3324 | 2010-01-04 |
| 1679626212 | Thomas A. Davis | Counselor | 160 Yonah Ave, Athens, GA 30601-1740 | 2007-01-18 |
| 1912068438 | Thomas Morrey Davis | General Practice | 8 North Grant Street, Brownsburg, IN 46112-1223 | 2006-12-12 |
| 1144243064 | Thomas W Davis | Family Medicine | 147 Longleaf Dr, Blackshear, GA 31516-2715 | 2006-07-25 |
| Street Address |
250 CHARLOIS BLVD DBA WINSTON-SALEM HEALTHCARE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503449 | Ryan Angus Mcdonald | Physician Assistant | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2005-07-27 |
| 1790266310 | Ashleigh Wynne Lucas | Nurse Practitioner | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2018-08-22 |
| 1841651841 | Alexandra Gilmore Sheppard | Physician Assistant | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2016-03-18 |
| 1922409234 | Tacorya Denise Morrison | Pharmacist | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2014-09-06 |
| 1831508860 | Sarah D Pearce | Pharmacist | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2014-08-04 |
| 1497183206 | Forsyth Memorial Hospital Inc | Internal Medicine | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-10-15 |
| 1265868764 | Forsyth Memorial Hospital, Inc | Internal Medicine | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-09-17 |
| 1083055396 | Phillip A Kelley | Physician Assistant | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-07-15 |
| 1427493980 | Marian Virginia Hazy | Nurse Practitioner | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-05-09 |
| 1609120690 | Tangula Latrice Simmons | Nurse Practitioner | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2012-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477939213 | The Epilepsy Institute of Nc | Psychologist | 1311 Westbrook Plaza Dr Ste 100, Winston Salem, NC 27103-1327 | 2015-08-04 |
| 1558779785 | Tara Laymon | Psychologist | 4264 Saddlewood Forest Dr, Winston Salem, NC 27106-3576 | 2014-07-31 |
| 1780901926 | Howard Thomas Bosworth | Psychologist | 1304 Ashley Square, Winston Salem, NC 27103 | 2010-04-28 |
| 1043549900 | Gustavo Rafael Grodnitzky | Psychologist | 736 Mitch Dr, Winston Salem, NC 27104-5126 | 2009-12-23 |
| 1548470776 | Dianne Mitchell, Ph.d., Pllc | Psychologist | 121 Reynolda Vlg, Suite G, Winston Salem, NC 27106-5126 | 2007-05-23 |
| 1801003371 | Pamela D. Corbett | Psychologist | 3560 Buena Vista Rd, Winston Salem, NC 27106-5736 | 2007-05-16 |
| 1295870194 | Embrenche LLC | Psychologist | 1001 S Marshall St Ste 262, 1001 S Marshall Street Suite 262, Winston Salem, NC 27101-5852 | 2007-02-20 |
| 1154406411 | Vicky Gaye Surratt | Psychologist | 125 Ashleybrook Square, Winston Salem, NC 27103 | 2006-10-26 |
| 1659306488 | Jeffrey Alan Smith | Psychologist | 3455 Polo Rd, Suite 106, Winston Salem, NC 27106-4828 | 2006-07-11 |
| 1609800895 | David S. Bathory | Psychologist | 2575 Woodberry Dr, Winston Salem, NC 27106-4622 | 2006-07-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.