LOPEZ DUANE DAVIS II
NPI 1609455989
Family Medicine in Charlotte, NC

Q: What is Lopez Davis's NPI number?

The NPI number for Lopez Davis is 1609455989. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Lopez Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lopez Davis was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment

13460 PLAZA ROAD EXT STE 100, CHARLOTTE, NC 28215(704) 316-4990(704) 316-4998 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2025, Mar 14, 2025, Feb 3, 2025 and 1 more (4 updates tracked since 2021).

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About Lopez Duane Davis Ii NPPES

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

LOPEZ DUANE DAVIS II (NPI 1609455989) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2025-00183) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Malden.

NPPES Registry Identity

NPI1609455989

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLOPEZ DUANE DAVIS II

Location Address13460 PLAZA ROAD EXT STE 100Charlotte, NC 28215-8923

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-4990

Fax(704) 316-4998

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 5, 2021

Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1609455989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2025-00183

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13460 PLAZA ROAD EXT STE 100, Charlotte, NC 28215

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Secondary Practice Location 1

Location 1195 Canal StMalden, MA 02148-6701 · Phone (781) 338-0550 · Fax (781) 338-0150

Accepted Insurance

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

Lopez Duane Davis Ii 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 ID3971903030

PECOS Enrollment IDI20250310003536

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 Reassignment

Medicare enrollment records show Lopez Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC

Same address

Family Medicine

13460 PLAZA ROAD EXT STE 100
Charlotte, NC 28215

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1063771749 (704) 316-4990

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340190

Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

NOVANT HEALTH MEDICAL GROUP, LLC

Family Medicine