Healthcare Provider Details

I. General information

NPI: 1225007024
Provider Name (Legal Business Name): BARBARA HELEN DAVENPORT CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MEDICAL RIDGE DR
GREENVILLE SC
29605-4268
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-797-7350
  • Fax: 864-797-7355
Mailing address:
  • Phone: 864-522-8603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2900
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number224210
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number2900
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number224210
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM416
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: