Active NPI
David Michael Davis, M.D.
- Emergency Medicine Physician
- Elizabeth City, NC
National Provider Identifier
1063559615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 30627
- Practice address
- Albemarle Hospital 1144 N Road Street
Elizabeth City, NC 27909-3353 - Phone
- (252) 384-4449
- NPI assigned
- Jan 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 30627 | NC | Primary |
Addresses
Primary practice location
Albemarle Hospital 1144 N Road Street
Elizabeth City, NC 27909-3353
Mailing address
2216 Indian Hill Rd
Virginia Beach, VA 23455-2130
Phone (757) 460-3747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8927401 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Current | Accepting new patients |
| North Carolina Em I Medical Services P C | Past | Accepting new patients | |
| Emergency Medicine Physicians of Pasquotank County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
-
- Emergency Medicine Physician
- Elizabeth City, NC
- NPI 1205875267
-
- Physician Assistant
- Elizabeth City, NC
- NPI 1255581443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063559615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 INDIAN HILL RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234552130",
"telephone_number": "757-460-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALBEMARLE HOSPITAL 1144 N ROAD STREET",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093353",
"telephone_number": "252-384-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "30627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8927401",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.