Individual provider Active NPI

Scott Alan Davis, M.D.

  • Ophthalmology Physician
  • Charleston, SC
National Provider Identifier
1043694557
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
38455 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-7101
Phone
(843) 792-1414
NPI assigned
Jul 14, 2015
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 38455 SC Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 38455 SC

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-7101

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Other practice location 1

200 Patewood Dr Ste A200
Greenville, SC 29615-3580
Phone (864) 454-5540

Other practice location 2

1 Doctors Dr
Greenville, SC 29605-4266
Phone (864) 522-5220

Other identifiers 1

IdentifierTypeStateIssuer
SCF7624862OtherSCMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20190911001409 SC Practitioner - Ophthalmology 4486962644 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jervey Eye Group PAGroup PAC ID 2860397148, 20 clinicians

Practice addresses (Care Compare)

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38455SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 17, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 17, 2024 Accepting new patients
Jervey Eye Group, PA Ophthalmology Current Accepting new patients
Jervey Eye Group, PA Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 1, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 15, 2019 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 1, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 15, 2019 Accepting new patients
Jervey Eye Group, PA Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

1575 E Main St
Duncan, SC 29334
Phone (864) 487-3338

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

220 S Pendleton St
Easley, SC 29640
Phone (864) 271-3354

1 Doctors Dr
Greenville, SC 29605
Phone (864) 271-3354

200 Patewood Dr
Ste A200
Greenville, SC 29615
Phone (864) 454-5115

5 Stevens St
Ste 100
Greenville, SC 29605
Phone (864) 250-6487

601 Halton Rd
Greenville, SC 29607
Phone (864) 458-7956

1 Colony Centre Way
Simpsonville, SC 29681
Phone (864) 458-3900

101 E Wood St
#401
Spartanburg, SC 29303
Phone (864) 560-6816

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1043694557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294257101",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Patewood Dr Ste A200",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153580",
            "country_code": "US",
            "telephone_number": "864-454-5540",
            "fax_number": "864-241-9276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054266",
            "country_code": "US",
            "telephone_number": "864-522-5220",
            "fax_number": "864-522-5309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "38455",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "SC",
            "license": "38455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCF7624862",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.