MR. SAMUEL C DAVIS JR. (NPI# 1295911204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295911204 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL C DAVIS JR. |
| Credential | MAED, LPC |
| Practice Address |
29086 Jordan Pond Dr Albemarle NC 28001-6419 |
| Practice Telephone | 7049821266 |
| Mailing Telephone | 7049821266 |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2010-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 2642 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2642 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2642 | NC | Behavioral Health & Social Service Providers |
| Y | 101YS0200X |
Counselor Specialization: School |
2642 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750748059 | Samuel Christian Davis | Specialist/Technologist | 1300 Cimarron Cirlce, 101, Fairborn, OH 45324-6205 | 2016-01-19 |
| 1740576164 | Samuel Davis | Developmental Therapist | 1200 N Central Ave Ste 212, Kissimmee, FL 34741-4440 | 2011-06-23 |
| 1710286711 | Samuel Clayton Davis | Pharmacist | 13353 Cleveland Ave Nw, Uniontown, OH 44685-8441 | 2011-03-16 |
| 1831339977 | Samuel Davis | Chiropractor | 185 Lake Dr, Lake Peekskill, NY 10537-1344 | 2009-03-03 |
| 1497949192 | Samuel Edward Davis IIi | Adult Companion | 545 Ne 21st Ln, Apartment C, Gainesville, FL 32609-6713 | 2007-09-05 |
| 1851514046 | Samuel H Davis | Pediatrics | 604 E Bailey Boswell Rd Ste 140, Saginaw, TX 76131-3568 | 2007-04-10 |
| 1982631768 | Samuel P Davis IIi | Otolaryngology | 601 Keisler Dr Ste 200, Cary, NC 27518-6567 | 2006-06-27 |
| 1073592697 | Samuel Davis | Dentist | Randolph Road, Cowan Dental Clinic Bldg 605, Ft. Sill, OK 73503 | 2006-01-12 |
| 1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
| 1407213705 | Samuel Kyle Davis | Counselor | 2470 Patterson Rd Ste 6office5, Grand Junction, CO 81505-1028 | 2016-01-19 |
| Street Address |
29086 JORDAN POND DR |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| Find all providers in zip 28001 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033478805 | Julie Lynn Callahan | Counselor | 120 Ludlow Street, Albemarle, NC 28001 | 2012-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053888313 | Kristine B Keith | Counselor | 133 Ne 32nd St, Oak Island, NC 28465-5922 | 2018-10-25 |
| 1003329194 | Gabriel Rosenboro | Counselor | 4400 Old Poole Rd, Raleigh, NC 27610-3033 | 2017-11-10 |
| 1740732866 | Aleya Karenton Willis | Counselor | 10410 Grand Fir Rd, Charlotte, NC 28227-3691 | 2016-10-25 |
| 1972913358 | Add Flavour | Counselor | 1710 Michigan Cir, Lumberton, NC 28358-7129 | 2014-05-06 |
| 1013351071 | Cynthia Gaie | Counselor | 601 Friendway Rd, Apt 1j, Greensboro, NC 27410-6400 | 2013-04-22 |
| 1982953436 | Healing Hope Habilitation Services | Counselor | 5109 New Moon Dr, Fayetteville, NC 28306-3515 | 2012-08-30 |
| 1033430608 | Norma Totten Lee | Counselor | 274 Oakwood Drive, Oakwood Elementary School, Yanceyville, NC 27379-0640 | 2010-06-18 |
| 1275854267 | Kelley Perkins Peacock | Counselor | 553 Weyburn Dr Nw, Concord, NC 28027-3414 | 2010-06-14 |
| 1124348040 | Sara Jane Ross | Counselor | 306 S. Horton St., Hamilton, NC 27840-0250 | 2010-06-02 |
| 1265751523 | Erin Catherine Mcnamara | Counselor | 10101 Waxhaw Manor Dr, Waxhaw, NC 28173-6846 | 2010-05-26 |
| Find all providers with the same taxonomy | ||||
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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.