MR. SHANN LYLE DAVIS (NPI# 1841313632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841313632 |
| Entity Type | Individual |
| Full Name | MR. SHANN LYLE DAVIS |
| Credential | PA-C |
| Practice Address |
2 Etowah School Road Etowah NC 28729 |
| Mailing Address |
Po Box 2108 Etowah NC 28729-1925 |
| Practice Telephone | 8288903200 |
| Practice Fax Number | 8288903223 |
| Mailing Telephone | 8288903200 |
| Mailing Fax Number | 8288903223 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2013-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103610 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 ETOWAH SCHOOL ROAD |
| City | ETOWAH |
| State | NC |
| Zip Code | 28729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568532729 | Donald Edward Jablonski | Family Medicine | 2 Etowah School Road, Etowah, NC 28729-1925 | 2006-11-08 |
| 1588729545 | Don Jablonski Do Pa | Clinic/Center | 2 Etowah School Road, Etowah, NC 28729 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114563657 | James Robert Freeman Jr. | Occupational Therapist | 395 Scarlet Oaks Drive, Etowah, NC 28729 | 2019-11-19 |
| 1447347240 | William Sidney Newsom IIi | Dentist | 24 Mckinney Road, Etowah, NC 28729 | 2006-10-05 |
| 1265627574 | Elizabeth Saft | Family Medicine | 6503 Brevard Rd, Etowah, NC 28729 | 2007-09-10 |
| 1588102396 | Christin Stines | Occupational Therapy Assistant | 386 River Breeze Ln, Etowah, NC 28729-0049 | 2017-02-01 |
| 1790876647 | Douglas London | Pharmacist | 6527 Brevard Rd., Etowah, NC 28729-0351 | 2006-09-27 |
| 1861613994 | Etowah Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 6527 Brevard Rd., Etowah, NC 28729-0351 | 2007-05-02 |
| 1457619819 | Teresa D Jones | Adult Companion | 45 Misty Mountain Dr Apt 21, Etowah, NC 28729-7743 | 2012-04-24 |
| 1457344616 | Ruth H Christos | Nurse Practitioner | 6503 Brevard Rd, Etowah, NC 28729-8739 | 2005-08-23 |
| 1790099927 | Pardee Hendersonville Family Health Center-etowah | Family Medicine | 6503 Brevard Rd, Etowah, NC 28729-8739 | 2010-07-29 |
| 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 |
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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.