JENNIFER SUSAN DAVIS PRABHU MD
NPI 1093165425
Pediatrics in Charlotte, NC
About Jennifer Susan Davis Prabhu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER SUSAN DAVIS PRABHU MD (NPI 1093165425) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2019-02021) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Susan Davis Prabhu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Davis Prabhu's NPI number?
The NPI number for Jennifer Davis Prabhu is 1093165425. It was assigned to this individual provider in the NPPES registry on June 16, 2016.
Where is Jennifer Davis Prabhu located?
Jennifer Davis Prabhu practices at 1900 Scott Ave Ste 200, Charlotte, NC 28203. The listed phone number is (704) 381-0280.
What is Jennifer Davis Prabhu's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jennifer Davis Prabhu enrolled in Medicare?
Yes. Jennifer Davis Prabhu is registered in the Medicare PECOS enrollment system.
What insurance does Jennifer Davis Prabhu accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Jennifer Davis Prabhu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jennifer Davis Prabhu was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer Susan Davis Prabhu, MD · NPI 1093165425
Pediatrics physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since June 16, 2016.
## Identity
- **NPI:** 1093165425 (Entity type: Individual)
- **Enumerated:** June 16, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2019-02021 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 SCOTT AVE, STE 200, Charlotte, NC 28203-6046
- **Phone:** (704) 381-0280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093165425) · Data from the CMS NPPES public registry.