NPIMap

Individual provider Active NPI

Sydney Lynn Davis, MD

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1093212854
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101271903 Issued in VA
Practice address
1950 Glenn Mitchell Dr Ste 300
Virginia Beach, VA 23456-0048
Phone
(757) 507-0305
Fax
(757) 507-0306
NPI assigned
Apr 9, 2018
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101271903 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1950 Glenn Mitchell Dr Ste 300
Virginia Beach, VA 23456-0048

Mailing address

1950 Glenn Mitchell Dr Ste 300
Virginia Beach, VA 23456-0048
Phone (757) 507-0305

Other practice location 1

3055 Roslyn St Unit 100
Denver, CO 80238-3324
Phone (720) 848-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622002367 VA Practitioner - Family Practice 6608125034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1950 Glenn Mitchell Dr
Suite 300
Virginia Beach, VA 23456-0048
Phone (757) 507-0305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101271903VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Family Medicine CurrentSince Jul 12, 2021 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1950 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 507-0305

Interoperability endpoints

  • Direct secure messaging: sdavis685879@direct.sentara.net

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1093212854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 GLENN MITCHELL DR STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560048",
            "telephone_number": "757-507-0305",
            "fax_number": "757-507-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 GLENN MITCHELL DR STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560048",
            "telephone_number": "757-507-0305",
            "fax_number": "757-507-0306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 Roslyn St Unit 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802383324",
            "country_code": "US",
            "telephone_number": "720-848-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SYDNEY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101271903",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.