1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Physician Assistant
  6. NPI Profile

NICOLETTE THREATT DAVIS PA
NPI 1861677445
Physician Assistant in Charlotte, NC

Active since January 02, 2008PECOS Enrolled
5727 PROSPERITY CROSSING DR, STE 1100, CHARLOTTE, NC 28269(704) 863-9930 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 58 more (61 updates tracked since 2017).

About Nicolette Threatt Davis Pa NPPES

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

NICOLETTE THREATT DAVIS PA (NPI 1861677445) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-06734) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1861677445
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLETTE THREATT DAVISCredential: PA
Location Address5727 PROSPERITY CROSSING DR, STE 1100Charlotte, NC 28269-2206
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 863-9930
Sole ProprietorNo
Enumeration DateJanuary 2, 2008
Last NPPES UpdateJuly 15, 202461 updates tracked since enumeration
✔ NPI 1861677445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-06734
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5727 PROSPERITY CROSSING DR, Charlotte, NC 28269
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1704 Gold Hill Rd, Ste 1200Fort Mill, SC 29715-8906 · Phone (704) 667-3380
Location 27810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636
Location 35717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 410210 Couloak Dr, Ste ECharlotte, NC 28216-7679 · Phone (704) 801-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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)

Nicolette Threatt Davis Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28269 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

REBECCA LYNN TAKAHASHI MD
Pediatrics
5727 PROSPERITY CROSSING DR
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9910
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
LUBNA SIAL ELAHI MD
Pediatrics
5727 PROSPERITY CROSSING DR, STE 1500
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9910
JOSE GUADALUPE DELGADO-ROBLES MD
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
ASHLEY HERRMANN HAM DO
Pediatrics
5727 PROSPERITY CROSSING DR, STE 1500
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9910
VICKI STARLENE SHIPMAN FNP
Nurse Practitioner (Family)
5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9930
AJIRI S. BARNES MD
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
REBECCA LYNN WILSON FNP
Nurse Practitioner
5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9930

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 Nicolette Davis's NPI number?

The NPI number for Nicolette Davis is 1861677445. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Nicolette Davis located?

Nicolette Davis practices at 5727 Prosperity Crossing Dr Ste 1100, Charlotte, NC 28269. The listed phone number is (704) 863-9930.

What is Nicolette Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicolette Davis enrolled in Medicare?

Yes. Nicolette Davis is registered in the Medicare PECOS enrollment system.

What insurance does Nicolette Davis accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Nicolette 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 Nicolette Davis 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.