Steven J Davis Sr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO263 Issued in AL

Practice address

802 N Main St
Opp, AL 36467-1632

Phone

(334) 493-3240

Fax

(334) 493-9535

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mizell Memorial Hospital, Inc.Group PAC ID 6507820990, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22680/brand/1/csg/1/fhir/r4
• Direct secure messaging: steve.davis.1@22680.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Mizell Memorial Hospital, Inc.

  • Specialist
  • Opp, AL
  • NPI 1548809403

  Corporate Director

  CMS ownership
• Mizell Memorial Hospital, Inc.

  • Family Medicine Physician
  • Opp, AL
  • NPI 1760728455

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705

  AL

  Medicare reassignment Care Compare group NPD
• Sycamore Physicians LLC

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1780372557

  AL

  Medicare reassignment NPD
• Mizell Memorial Hospital, Inc.

  • Family Medicine Physician
  • Elba, AL
  • NPI 1033863170

  Family Medicine

  Care Compare group NPD
• Mizell Memorial Hospital, Inc.

  • Specialist
  • Opp, AL
  • NPI 1548809403
  Care Compare group
• Mizell Memorial Hospital, Inc.

  • Family Medicine Physician
  • Opp, AL
  • NPI 1760728455
  Care Compare group
• Mizell Memorial Hospital, Inc.

  • Hospitalist Physician
  • Opp, AL
  • NPI 1477032795
  NPD
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1356391353
  NPD (past)
• Geneva Emergency Physicians LLC

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1326081498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1003898396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N MAIN ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671632",
            "telephone_number": "334-493-3240",
            "fax_number": "334-493-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N MAIN ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671632",
            "telephone_number": "334-493-3240",
            "fax_number": "334-493-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "32248",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D7403",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000089191",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "89191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Joseph Crowe, M.D.
• D & J Optical Inc
• Frank Elliott Daugherty, PT
• Daughtry Pharmacy
• Daughtry Pharmacy, LLC
• Retha Leeann Dearden, RBT
• Kevin Ray Diel, MD
• Joshua Jonathan Driver, O.D.
• Robin Gayle Eckert, RN
• Mikiya Nikierra Edwards

• All providers in Opp, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.