Active NPI
Kevin Davis
- Anesthesiologist Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 1000 Johnson Ferry Rd
Atlanta, GA 30342-1606 - Phone
- (404) 851-8000
- NPI assigned
- Aug 2, 2021
- Last updated
- May 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 98 | SC | |
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Mailing address
PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trident Anesthesia Group, LLC | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Coastal Anesthesia Associates, LLC | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
423 Barony St
Moncks Corner, SC 29461
9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
130 Edge St
Summerville, SC 29486
Phone (843) 628-5816
295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1942252176
-
dba St. Francis Anesthesia
- Anesthesiology Physician
- Charleston, SC
- NPI 1871035956
-
dba Roper St. Francis Healthcare Pediatrics
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1013681303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603484",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-8000"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "29414",
"country_code": "US",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-02",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "SC",
"license": "98",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.