Davidson Family Medicine, P.a. - Medicare Primary Care in Davidson, NC

Davidson Family Medicine, P.a. is a medicare enrolled primary clinic (Family Medicine) in Davidson, North Carolina. The current practice location for Davidson Family Medicine, P.a. is 104 Knox Court, Suite 100, Davidson, North Carolina. For appointments, you can reach them via phone at (704) 892-5454. The mailing address for Davidson Family Medicine, P.a. is Po Box 4329, Davidson, North Carolina and phone number is (704) 892-5454.

Davidson Family Medicine, P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811958812. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (704) 892-5454.

Contact Information

Davidson Family Medicine, P.a.
104 Knox Court
Suite 100
Davidson
NC 28036-4329
(704) 892-5454
(704) 892-5858

Map and Direction


Primary Care Clinic Profile

Full NameDavidson Family Medicine, P.a.
SpecialityFamily Medicine
Location104 Knox Court, Davidson, North Carolina
Authorized Official Name and PositionVone Mcdaniel (OFFICE MANAGER)
Authorized Official Contact7048925454
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Davidson Family Medicine, P.a.
Po Box 4329
Davidson
NC 28036-4329

Ph: (704) 892-5454
Davidson Family Medicine, P.a.
104 Knox Court
Suite 100
Davidson
NC 28036-4329

Ph: (704) 892-5454

NPI Details:

NPI Number1811958812
Provider Enumeration Date03/29/2006
Last Update Date05/03/2011

Medicare PECOS Information:

Medicare PECOS PAC ID9931189008
Medicare Enrollment IDO20040721000523

Medical Identifiers

Medical identifiers for Davidson Family Medicine, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811958812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Davidson Family Medicine, P.a. acts as a billing entity for following providers:
Provider NameRebecca P Montgomery
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760478358
PECOS PAC ID: 8527011030
Enrollment ID: I20050224000602
Provider NamePatricia S White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902933740
PECOS PAC ID: 0749207504
Enrollment ID: I20051031000868
Provider NameDebra Jo Witkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588681944
PECOS PAC ID: 9234230392
Enrollment ID: I20070719000731
Provider NameEmmett F Montgomery
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356337646
PECOS PAC ID: 8820078736
Enrollment ID: I20100826000378
Provider NameCraig J White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104800622
PECOS PAC ID: 1355321332
Enrollment ID: I20110908001746
Provider NameSuzanne Noelle Carr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912305681
PECOS PAC ID: 9830415231
Enrollment ID: I20150302001906
Provider NameNicole S Deschenes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316214489
PECOS PAC ID: 6608001268
Enrollment ID: I20160712002526
Provider NameDeanna L Dillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265965669
PECOS PAC ID: 1153699426
Enrollment ID: I20170612000290
Provider NameShannon M. Roche
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023470267
PECOS PAC ID: 1759673411
Enrollment ID: I20191007003300
Provider NameNicole A Desantis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518595438
PECOS PAC ID: 8628409273
Enrollment ID: I20230829003795

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.