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Davis Grove Pediatrics Pllc

Pediatrics Physician in Cary, NC · enumerated 2016 · authorized official Jim Yan, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457718835

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Registry record

Entity type Organization (Type 2)
Legal business name Davis Grove Pediatrics Pllc
Practice address 204 Davis Grove Cir Ste 107, Cary, NC, 27519
Fax (919) 363-3437
Enumeration date Jan 15, 2016
Last updated in NPPES Jan 15, 2016

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2008-00550 (NC) Primary

Authorized official

Name Jim Yan
Title Manager

Other identifiers

Identifier Type State Issuer
5910793 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Davis Grove Pediatrics Pllc?
Davis Grove Pediatrics Pllc is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-15.