| Davidson H Givens, MD | |
|
186 Kimel Park Dr, Winston Salem, NC 27103-6946 | |
| (336) 277-2000 | |
| (336) 277-2050 |
| Full Name | Davidson H Givens |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 186 Kimel Park Dr, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043281314 | NPI | - | NPPES |
| 1043281314 | Medicaid | VA | |
| 35668 | Other | NC | BCBS ID# |
| 8935671 | Medicaid | NC | |
| 143 | Other | NC | PARTNERS ID# |
| 8935668 | Medicaid | NC | |
| 1285682310 | Other | NC | WSCA GRP NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 20905 (North Carolina) | Primary |
| Entity Name | Novant Health Thomasville Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 |
| Entity Name | Medical Park Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Novant Health Mint Hill Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Davidson H Givens, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 277-2000 | Davidson H Givens, MD 186 Kimel Park Dr, Winston Salem, NC 27103-6946 Ph: (336) 277-2000 |
Shannon Mitchell St Clair, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Kamal Hanee Henderson, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Michael Joseph Mccormack Jr., M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Randall Stephan Conrad, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305 | |
Brooke Williams, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383 | |
Dr. Analicia Marie Alvarado, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. David Defeo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737 |