Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Davita Paula Forman, PA-C

Individual provider Physician Assistant · NPI 1538686068

Davita Paula Forman, PA-C is a Physician Assistant in Durham, North Carolina. Qualified in 2017, 9 years ago. Practices with Mindpath Care Centers North Carolina PLLC, a 115-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4220 Apex Hwy Ste 200
Durham, NC 27713-5295
Phone: (855) 501-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1255 Creekshire Way, Winston Salem, NC 27103-3059 — (336) 701-3111

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-07617 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1538686068
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2017
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mindpath Care Centers North Carolina Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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