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Deactivated NPI 1689741019 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome Irvin Davis , MD

General Practice • Greensboro, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerome Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2006
NPI Deactivation Date December 03, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Davis, MD was a registered General Practice practicing in Greensboro, NC. Throughout an active medical career spanning 14 years, Dr. Davis provided care at the practice location at 3402 BATTLEGROUND AVE until profile deactivation on 2020-12-03.

Practice Location & Contact Primary Location

Practice Address

3402 Battleground Ave

Greensboro, NC 274102404

Telephone 3365451515
Fax 3365454505
Associated Practice Facility / Clinic
🏢 Battleground Urgent Care Facility NPI 1497896146

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Greensboro, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Greensboro, NC (265 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NC 19463

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1427200922

Doctor of Medicine (M.D.)

Dr. Mahesh Sandhu , DO

Emergency Medicine

NPI 1679532279

Doctor of Osteopathic Medicine (D.O.)

Henry Althisar , PA-C

Physician Assistant

NPI 1770774705

Physician Assistant (Certified)

NPI 1891840898

Doctor of Chiropractic

NPI 1972652436

Doctor of Medicine (M.D.)

Dr. Douglas Blevins , MD

Internal Medicine

NPI 1992705982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 03, 2020

Record deactivated on December 03, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3402 BATTLEGROUND AVE, GREENSBORO, NC 274102404 (Tel: 3365451515)

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Updated Business Mailing Address July 08, 2007

Registered at 3402 BATTLEGROUND AVE, GREENSBORO, NC 274102404 (Tel: 3365451515)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEROME DAVIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #19463 in NC)

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Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689741019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: July 08, 2007
Deactivation Date: December 03, 2020

Mailing Address

3402 Battleground Ave

Greensboro, NC 274102404

Phone: 3365451515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.