Active NPI
Reginald Forrest Daves, MD
- Obstetrics & Gynecology Physician
- Conway, SC
National Provider Identifier
1093930885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5687
- Practice address
- 2345 Steep Landing Rd
Conway, SC 29526-7833 - Phone
- (843) 347-6222
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5687 | SC | Primary |
Addresses
Primary practice location
2345 Steep Landing Rd
Conway, SC 29526-7833
Mailing address
2345 Steep Landing Rd
Conway, SC 29526-7833
Phone (843) 347-6222
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5687 | SC | MD | Professional Counselor |
Interoperability endpoints
- reginald.daves.1@29696.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093930885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 STEEP LANDING RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295267833",
"telephone_number": "843-347-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 STEEP LANDING RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295267833",
"telephone_number": "843-347-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVES",
"first_name": "REGINALD",
"middle_name": "FORREST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "5687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.