MRS. DELINA JOSET DAVIS-COOLEY (NPI# 1508844358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508844358 |
| Entity Type | Individual |
| Full Name | MRS. DELINA JOSET DAVIS-COOLEY |
| Credential | PA-C |
| Practice Address |
200 S Main St Rich Square NC 27869 |
| Mailing Address |
Po Box 710 Rich Square NC 27869-0710 |
| Practice Telephone | 2525392028 |
| Practice Fax Number | 2525392898 |
| Mailing Telephone | 2525392082 |
| Mailing Fax Number | 2525392898 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
101418 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UNITED HEALTH CARE # | 2337628 | 01 |
| NC | MEDCOST LLC PROVIDER # | 84846 | 01 |
| Street Address |
200 S MAIN ST |
| City | RICH SQUARE |
| State | NC |
| Zip Code | 27869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205340247 | Justin Shepherd | Physician Assistant | 200 S Main St, Rich Square, NC 27869 | 2017-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538619911 | Eastside Ems, Inc | Ambulance | 308 West Jackson Street, Rich Square, NC 27869 | 2016-10-10 |
| 1396130134 | Carmelita Edwards | Counselor | 123 N Main Street, Rich Square, NC 27869 | 2015-03-30 |
| 1356641468 | Nicole S Howell | Pharmacist | 124 South Main Street, Rich Square, NC 27869 | 2010-10-25 |
| 1588803068 | Community Day Program, LLC | Community/Behavioral Health | 117 W Jackson St., Rich Square, NC 27869 | 2009-02-06 |
| 1063670511 | Letesha Renee Gibson | Counselor | Hwy 258 409 N Main Street, Rich Square, NC 27869 | 2008-05-30 |
| 1912115585 | Robert Boone Outland Jr. | Dentist | 504 South Main St, Rich Square, NC 27869 | 2007-05-18 |
| 1538380134 | Mesina Reddish | Dietitian, Registered | 116 Pine Street, Rich Square, NC 27869 | 2007-05-01 |
| 1518996404 | Kind Hearts Home Health Care, Inc. | Home Health | 104 Short St., P. O. Drawer 820, Rich Square, NC 27869 | 2006-07-02 |
| 1205812427 | Autumn Corporation | Skilled Nursing Facility | 320 N. Main St, Rich Square, NC 27869 | 2005-12-20 |
| 1023519063 | Hsc Therapeutic Counseling Services, Pllc | Counselor | 409 North Main Street, Rich Square, NC 27869 | 2018-02-26 |
| Find all providers in zip 27869 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
| City | RICH SQUARE |
| Zip Code | 27869 |
Please comment or provide details below to improve the information on MRS. DELINA JOSET DAVIS-COOLEY.
| 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.