Wiley M Davis Jr. (NPI# 1558334284, PAC ID# 1557254232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558334284 |
| PAC ID by PECOS | 1557254232 |
| Professional Enrollment ID | I20040205000997 |
| Full Name | Wiley M Davis Jr. |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
11840 Southmore Dr Charlotte NC 28277-4466 |
| Phone Number | 7043841166 |
| Gender | M |
| Credential | MD |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340171 | NOVANT HEALTH MATTHEWS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11840 Southmore Dr, Charlotte, NC 28277-4466 | 7043841166 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
11840 SOUTHMORE DR |
| City | CHARLOTTE |
| State | NC |
| Zip | 28277-4466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan S Mcrae | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Kristin Michelle Hietbrink | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Matthew W Grimm | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 201, Charlotte, NC 28277-4466 |
| Eileen Catherine Frager | Nurse Practitioner | Forsyth Medical Group LLC | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4821 |
| Eleanor Rankin Pleasants | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| James Edward Johnson | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Brett A Christoffersen | Internal Medicine | Novant Medical Group Inc | 11840 Southmore Dr, Charlotte, NC 28277-4466 |
| Hunter Lewis Peacock | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| John O Ketron | Pediatric Medicine | Novant Medical Group Inc | 11840 Southmore Dr, Charlotte, NC 28277-4466 |
| Janet Olufunkebasirat Adeniran | Family Medicine | Novant Medical Group Inc | 11840 Southmore Dr, Charlotte, NC 28277-4466 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica B Bell | Nurse Practitioner | Novant Medical Group Inc | 14215 Ballantyne Corp Pl, Suite 230, Charlotte, NC 28277 |
| Mary M Cummins | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| James L Seward | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Keri Anne Squittieri | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Elizabeth G Grattan | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Jocelyn E Larocque | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lisa Michelle Matuga | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lesslie A Marquez-durst | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Tabitha L Alford | Nurse Practitioner | Life Line Community Healthcare | 11220 Elm Ln, Suite 202, Charlotte, NC 28277-0450 |
| James K Liu | Cardiovascular Disease (cardiology) | 11220 Elm Ln, Suite 200, Charlotte, NC 28277-0450 | |
| Find all physicians in zip 28277 | |||
| City | CHARLOTTE |
| Zip Code | 28277 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHARLOTTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wiley M Davis Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.