| Mr Judson Spencer Davis Jr, CRNA | |
|
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
| (336) 713-3069 | |
| Not Available |
| Full Name | Mr Judson Spencer Davis Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | Medical Center Blvd, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730498486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 202428 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| High Point Regional Health System | High point, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| Carolina Anesthesiology Pa | 7214841410 | 54 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Carolina Anesthesiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629032347 PECOS PAC ID: 7214841410 Enrollment ID: O20031112000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Judson Spencer Davis Jr, CRNA 2616 Union Grove Rd, Lexington, NC 27295-5879 Ph: (336) 764-5442 | Mr Judson Spencer Davis Jr, CRNA Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 713-3069 |
Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797 | |
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 |