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

Eddie Dean Davis, PAC

Individual provider Physician Assistant · NPI 1700876141

Eddie Dean Davis, PAC is a Physician Assistant in Concord, North Carolina. Qualified in 1997, 29 years ago. Practices with Orthocarolina, PA, a 301-clinician group. Licensed in North Carolina.

Years since qualifying
29
Licensed in
NC
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

354 Copperfield Blvd NE
Concord, NC 28025-2402
Phone: (704) 323-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103716 (NC)

Record details

NPI number1700876141
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESJune 7, 2016
Mailing address4601 Park Rd, Suite 300, Charlotte, NC 28209-3239

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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