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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAZZMEN NIKOLE DAVIS LCMHC, LPC
NPI 1184279002
Counselor - Professional in Charlotte, NC

Active since August 07, 2019PECOS Enrolled
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(404) 649-5274(404) 726-4881 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2026, Mar 21, 2026, Mar 4, 2026 and 6 more (9 updates tracked since 2019).

About Dazzmen Nikole Davis Lcmhc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAZZMEN NIKOLE DAVIS LCMHC, LPC (NPI 1184279002) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (10572) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in N Wilkesboro, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184279002
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDAZZMEN NIKOLE DAVISCredential: LCMHC, LPC
Location Address10130 MALLARD CREEK RD STE 300Charlotte, NC 28262-6001
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(404) 649-5274
Fax(404) 726-4881
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2019
Last NPPES UpdateOctober 20, 20269 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1184279002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 10572
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC015521 (GA), LPC9824PC (SC)
10130 MALLARD CREEK RD STE 300, Charlotte, NC 28262
Open in Google Maps ↗

Secondary Practice Location 1

Location 1118 Peace StN Wilkesboro, NC 28659-4519 · Phone (336) 667-7191 · Fax (336) 667-6859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dazzmen Nikole Davis Lcmhc, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678097607
PECOS Enrollment IDI20251114002631
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Dazzmen Davis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Daymark Recovery Services, Inc.
12 mi
Multi-Specialty
284 EXECUTIVE PARK DRIVE, SUITE 100
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 241 clinicians in this Medicare group
NPI 1558329243 (704) 939-1100
Backpack Medical Group, P.C.
346 mi
Clinical
6655 SANTA BARBARA RD UNIT 8574
Elkridge, MD 21075
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1851177570 (866) 968-6342
Flowly Health Medical Group P A
648 mi
Clinical
390 NE 191ST ST STE 8264
Miami, FL 33179
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1235983826 (323) 545-3659
Grow Healthcare Group PA
660 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERRI LYNN TILFORD EDD
Counselor (Professional)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 689-4127
JENNIFER HUGE LCMHCA
Counselor (Professional)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3533
TYLEA WHITE
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3533
TAUSI KIDS FOUNDATION INC
Foster Care Agency
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-5554
SUPPORTING PEOPLE IN NEED - SPIN
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 253-1924
AMBER KIMBLE LCSW
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 225-1585
NEW PHASE CHRISTIAN COUNSELING & RESTORATION CENTER,PLLC
Counselor (Mental Health)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3530
RESTORE MENTAL HEALTH PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 550-8414

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 Dazzmen Davis's NPI number?

The NPI number for Dazzmen Davis is 1184279002. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Dazzmen Davis located?

Dazzmen Davis practices at 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262. The listed phone number is (404) 649-5274.

What is Dazzmen Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dazzmen Davis enrolled in Medicare?

Yes. Dazzmen Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dazzmen Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dazzmen Davis reassigns Medicare benefits to 4 organizations: Daymark Recovery Services, Inc. (Concord, NC), Backpack Medical Group, P.C. (Elkridge, MD), Flowly Health Medical Group P A (Miami, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dazzmen Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dazzmen Davis accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare, Oscar Health and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Dazzmen Davis 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 Dazzmen Davis was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.