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

Nicole Anna Desantis, DO

Individual provider Family Medicine Physician · NPI 1518595438

Nicole Anna Desantis, DO is a Family Practice in Davidson, North Carolina. Graduated from University of New England, College of Osteo Medicine in 2020, 6 years ago. Practices with Avance Care PA, a 244-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Trained at
University of New England, College of Osteo Medicine
Licensed in
NC
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

104 Knox Ct
Davidson, NC 28036-0590
Phone: (704) 892-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2023-01622 (NC)

Record details

NPI number1518595438
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing addressPo Box 4329, Davidson, NC 28036-4329

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2020 (6 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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