Active NPI
Micah D Davis Sr.
- Case Manager/Care Coordinator
- Cleveland, OH
National Provider Identifier
1033075148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- SP997581
- Practice address
- 23438 Brookton Rd
Cleveland, OH 44128-4959 - Phone
- (216) 762-6592
- NPI assigned
- Jan 2, 2026
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | SP997581 | OH | |
| Case Manager/Care Coordinator | 171M00000X | SP997581 | OH | Primary |
Addresses
Primary practice location
23438 Brookton Rd
Cleveland, OH 44128-4959
Mailing address
23438 Brookton Rd
Cleveland, OH 44128-4959
Phone (216) 762-6592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP997581 | OH | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1033075148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23438 BROOKTON RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441284959",
"telephone_number": "216-762-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23438 BROOKTON RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441284959",
"telephone_number": "216-762-6592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICAH",
"middle_name": "D",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-02",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "SP997581",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "SP997581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.