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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.

CAMERON REGINALD BUTLER DAVIS LCMHCA
NPI 1194505255
Counselor - Mental Health in Charlotte, NC

Active since October 04, 2023PECOS Enrolled
5007 PROVIDENCE RD STE 105, CHARLOTTE, NC 28226(704) 364-6594(704) 364-6596 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Aug 21, 2026, Aug 14, 2026 and 1 more (4 updates tracked since 2023).

About Cameron Reginald Butler Davis Lcmhca NPPES

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

CAMERON REGINALD BUTLER DAVIS LCMHCA (NPI 1194505255) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (18258) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194505255
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCAMERON REGINALD BUTLER DAVISCredential: LCMHCA
Location Address5007 PROVIDENCE RD STE 105Charlotte, NC 28226-5907
Mailing Address2825 Sloan DrCharlotte, NC 28208-7412 · (865) 293-2722
Phone(704) 364-6594
Fax(704) 364-6596
Sole ProprietorNo
Enumeration DateOctober 4, 2023
Last NPPES UpdateAugust 24, 20264 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1194505255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 18258
5007 PROVIDENCE RD STE 105, Charlotte, NC 28226
Open in Google Maps ↗

Other Names 1

Other Name (5)Cameron Butler-davis

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron Reginald Butler Davis Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 12

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

RICHARD O'NEALE ATKINSON IV LCSW
Social Worker (Clinical)
5007 PROVIDENCE RD STE 105
CHARLOTTE, NC 28226
Mecklenburg County (704) 364-6594
MS. AMANDA SARA LEVINE MSW, LCSW
Social Worker (Clinical)
5007 PROVIDENCE RD STE 105
CHARLOTTE, NC 28226
Mecklenburg County (704) 364-6594
MRS. STEPHANIE ANN STARR LCSW
Social Worker (Clinical)
5007 PROVIDENCE RD STE 105
CHARLOTTE, NC 28226
Mecklenburg County (704) 364-6594
MRS. KAREN RACHEL MAJERCSIK P-LCSW
Social Worker (Clinical)
5007 PROVIDENCE RD STE 105
CHARLOTTE, NC 28226
Mecklenburg County (704) 364-6594
LILY ELIZABETH ASAAD LCSWA
Social Worker (Clinical)
5007 PROVIDENCE RD STE 105
CHARLOTTE, NC 28226
Mecklenburg County (704) 364-6594
COURTNEY MERCHANT LAWRENCE LCSW
Social Worker (Clinical)
5007 PROVIDENCE RD STE 105
CHARLOTTE, NC 28226
Mecklenburg County (704) 364-6594
JACOB MORRIS TABACK LCSWA
Social Worker (Clinical)
5007 PROVIDENCE RD STE 105
CHARLOTTE, NC 28226
Mecklenburg County (704) 364-6594
ALEXIS SHEA STROUSE LCSW
Social Worker (Clinical)
5007 PROVIDENCE RD STE 105
CHARLOTTE, NC 28226
Mecklenburg County (704) 364-6594

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 Cameron Butler Davis's NPI number?

The NPI number for Cameron Butler Davis is 1194505255. It was assigned to this individual provider in the NPPES registry on October 4, 2023. The provider is also known as Cameron Butler-Davis.

Where is Cameron Butler Davis located?

Cameron Butler Davis practices at 5007 Providence Rd Ste 105, Charlotte, NC 28226. The listed phone number is (704) 364-6594.

What is Cameron Butler Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cameron Butler Davis enrolled in Medicare?

Yes. Cameron Butler Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cameron Butler Davis was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.