| The Davidson Clinic | |
|
705 Griffith St Ste 100 Davidson NC 28036-9304 | |
| (704) 801-7900 | |
| Not Available |
| Full Name | The Davidson Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 705 Griffith St, Davidson, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Davidson Clinic Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | The Davidson Clinic 705 Griffith St Ste 100 Davidson NC 28036-9304 Ph: (704) 801-7900 |
| NPI Number | 1902837073 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 3072402502 |
|---|---|
| Medicare Enrollment ID | O20040312000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902837073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William M Satterwhite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063471654 PECOS PAC ID: 4981644200 Enrollment ID: I20050510001038 |
| Provider Name | Thomas R Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972598878 PECOS PAC ID: 4082630082 Enrollment ID: I20060209000542 |
| Provider Name | Krishan K Mohindroo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356374094 PECOS PAC ID: 3375542608 Enrollment ID: I20061213000468 |
| Provider Name | Christina Taylor Mcshea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437251949 PECOS PAC ID: 4385743319 Enrollment ID: I20070615000413 |
| Provider Name | Harold T Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174590590 PECOS PAC ID: 9032219753 Enrollment ID: I20070711000156 |
| Provider Name | Lauren N Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902004187 PECOS PAC ID: 0446344261 Enrollment ID: I20070924000342 |
| Provider Name | Ronnie T Beamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477584316 PECOS PAC ID: 7315843604 Enrollment ID: I20080104000532 |
| Provider Name | Thomas J Koewler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205801628 PECOS PAC ID: 1153309018 Enrollment ID: I20081229000642 |
| Provider Name | James Philip Griggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114936606 PECOS PAC ID: 9830249887 Enrollment ID: I20090612000137 |
| Provider Name | Katie S Fine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376717355 PECOS PAC ID: 6002967031 Enrollment ID: I20100429000944 |
| Provider Name | Diedra P Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972814754 PECOS PAC ID: 4284767997 Enrollment ID: I20100802000785 |
| Provider Name | Kelly B St George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881900595 PECOS PAC ID: 3971628835 Enrollment ID: I20100915000649 |
| Provider Name | Robert L Figueroa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760413694 PECOS PAC ID: 3678769668 Enrollment ID: I20101202000784 |
| Provider Name | Stephen Kennedy Mange |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104851880 PECOS PAC ID: 3173710175 Enrollment ID: I20101202001009 |
| Provider Name | Jane A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487954962 PECOS PAC ID: 1557559929 Enrollment ID: I20101229000598 |
| Provider Name | Nancy B Tarte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790700953 PECOS PAC ID: 7113107525 Enrollment ID: I20110202000107 |
| Provider Name | Emmanuel O Edosomwan-eigbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336397306 PECOS PAC ID: 4385774033 Enrollment ID: I20110913000703 |
| Provider Name | Ivan Savitsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225054067 PECOS PAC ID: 5799951117 Enrollment ID: I20120105000472 |
| Provider Name | Catherine A Voci-holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073811311 PECOS PAC ID: 9335316256 Enrollment ID: I20120118000263 |
| Provider Name | Benjamin Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548497381 PECOS PAC ID: 5092962985 Enrollment ID: I20120828000839 |
| Provider Name | Melody M Mccutcheon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881940195 PECOS PAC ID: 3971739608 Enrollment ID: I20131202000413 |
| Provider Name | Chanpreet Kaur Kochhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134386618 PECOS PAC ID: 8325225840 Enrollment ID: I20131210000094 |
| Provider Name | Dakeya D Logan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700015971 PECOS PAC ID: 7719137074 Enrollment ID: I20140514000369 |
| Provider Name | Jacqueline Dee Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235353673 PECOS PAC ID: 6002047651 Enrollment ID: I20140910002743 |
| Provider Name | Naomi Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407265937 PECOS PAC ID: 4789805755 Enrollment ID: I20141016002442 |
| Provider Name | Sara Yeager Grigston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700287554 PECOS PAC ID: 3577887165 Enrollment ID: I20150202000161 |
| Provider Name | Angela M Vandegrift |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588924856 PECOS PAC ID: 7012221773 Enrollment ID: I20150810000038 |
| Provider Name | Stephanie P Kwon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063772374 PECOS PAC ID: 7517267388 Enrollment ID: I20151201000012 |
| Provider Name | Joseph C Loibissio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457381600 PECOS PAC ID: 9133497654 Enrollment ID: I20170623002071 |
| Provider Name | Robert H Lutz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881659068 PECOS PAC ID: 4486928488 Enrollment ID: I20170914001050 |
| Provider Name | Candace A Howell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104067040 PECOS PAC ID: 6901060326 Enrollment ID: I20171128000834 |
| Provider Name | Melodie Cornique Harrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518279694 PECOS PAC ID: 9537469879 Enrollment ID: I20180116002000 |
| Provider Name | Vicky Leff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548259369 PECOS PAC ID: 0446413694 Enrollment ID: I20180226001733 |
| Provider Name | Christie Dehoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598261703 PECOS PAC ID: 4587919725 Enrollment ID: I20180612002062 |
| Provider Name | Samantha Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659736239 PECOS PAC ID: 4385990316 Enrollment ID: I20180705002852 |
| Provider Name | Puja G Whitlow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356495881 PECOS PAC ID: 4880728245 Enrollment ID: I20180828000348 |
| Provider Name | Charles Vedder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588604201 PECOS PAC ID: 9234214784 Enrollment ID: I20200324003327 |
| Provider Name | Kelly Elizabeth Hemmings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528599172 PECOS PAC ID: 2365728219 Enrollment ID: I20200629002318 |
| Provider Name | Ryan A Corbello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902333552 PECOS PAC ID: 9133490576 Enrollment ID: I20200803001058 |
| Provider Name | John B Plonk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730102211 PECOS PAC ID: 2567851207 Enrollment ID: I20211117003332 |
| Provider Name | Jennifer L Barlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386264380 PECOS PAC ID: 5698198091 Enrollment ID: I20230907001685 |
Agape Health And Wellness Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11001 Hat Creek Ln, Davidson, NC 28036 Phone: 704-490-2756 | |
Carolinas Healthcare Urgent Care - Davidson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Griffith St, Ste 100b, Davidson, NC 28036 Phone: 704-801-7970 | |
Davidson College Student Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 N. Main St, Davidson, NC 28036 Phone: 704-894-2300 Fax: 704-894-2615 | |
Novant Health Express Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Jetton St, Suite 214, Davidson, NC 28036 Phone: 704-384-1555 Fax: 704-384-1557 | |
Ardsley Internal Medicine-renaissance Square Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Shiloh Church Rd, Suite 201, Davidson, NC 28036 Phone: 704-439-3730 Fax: 704-439-3759 | |
Ardsley Internal Medicine Renaissance Square Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Shiloh Church Rd, Suite 201, Davidson, NC 28036 Phone: 704-403-8650 Fax: 704-403-8655 | |
Ms Rapid Answers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 S Main Street Ste B Unit #1019, Davidson, NC 28036 Phone: 307-968-5635 Fax: 980-231-1988 |