John Joseph Davis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00012531 Issued in AL

Practice address

5577 Chalkville Rd
Birmingham, AL 35235-2171

Phone

(205) 853-3533

Fax

(205) 856-3808

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Family Health Care PCGroup PAC ID 0840457222, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.davis.1@22045.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22045/brand/1/csg/1/fhir/r4

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.

• Complete Family Health Care, P.C.

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1801986807
  Medicare reassignment Care Compare group NPD Authorized official
• Grayson Valley Family Health Care LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1053719567
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1053406173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 CHALKVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352171",
            "telephone_number": "205-853-3533",
            "fax_number": "205-856-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 CHALKVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352171",
            "telephone_number": "205-853-3533",
            "fax_number": "205-856-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00012531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "051507168",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kalisa Davis, MSW
• Jerry L Davis Jr., RBT
• Jessica Lynn Davis, LICSW
• Joanntonette Nickole Davis, LICENSED PROFESSIONA
• Joel R Davis
• Jonathan C Davis, PH.D., LMFT
• Jonathan D Davis, DO
• Jordan Davis
• Joseph Edward Davis Jr., MD
• Kisha Carol Davis, LPN

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.