Active NPI
John Patrick Davis, M.D.
- Surgical Critical Care Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 0101267055
- Practice address
- 1300 Jefferson Park Ave
Charlottesville, VA 22903-3363 - Phone
- (434) 924-2150
- Fax
- (434) 243-9433
- NPI assigned
- Apr 11, 2011
- 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 |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 0101267055 | VA | Primary |
Addresses
Primary practice location
1300 Jefferson Park Ave
Charlottesville, VA 22903-3363
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
2232 Wilborn Ave Ste C
South Boston, VA 24592-1662
Phone (434) 517-3910
Other practice location 2
1215 Lee St
Box 800681
Charlottesville, VA 22908-0816
Phone (434) 924-9307
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdavis105607@direct.healthsystem.virginia.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
838 Nordahl Rd
Suite 270
San Marcos, CA 92069-3596
Phone (760) 489-5955
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Health Medical Associates LTD | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Dominion Health Medical Assoc | Current | Accepting new patients | |
| Urgent Specialty Associates PLLC | Current | Accepting new patients | |
| Dominion Health Medical Assoc. | Current | Accepting new patients |
Locations
1300 Jefferson Park Ave
Fl 4
Charlottesville, VA 22903
Phone (434) 924-5125
1300 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-2241
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
7101 Jahnke Rd
Ste 260
Richmond, VA 23225
Phone (804) 716-7755
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
2232 Wilborn Ave
Ste C
South Boston, VA 24592
Phone (434) 517-3910
2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095
Interoperability endpoints
- northcountytraumaassociates.johndavis@158576.advancedmd-direct.com
- jdavis105607@direct.healthsystem.virginia.edu
Organizations & group practices 6
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.
-
- Surgery Physician
- Escondido, CA
- NPI 1467563791
-
dba Sentora Halifax General Surgery
- Ambulatory Surgical Clinic/Center
- South Boston, VA
- NPI 1255771770
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Surgery Physician
- Richmond, VA
- NPI 1487164604
-
dba Sentara Cardiology Specialists
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1356138879
-
dba Sentara Behavioral Health Specialists
- Community/Behavioral Health Agency
- South Boston, VA
- NPI 1215411483
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1104116235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 JEFFERSON PARK AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229033363",
"telephone_number": "434-924-2150",
"fax_number": "434-243-9433"
}
],
"practiceLocations": [
{
"address_1": "2232 Wilborn Ave Ste C",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "VA",
"postal_code": "245921662",
"country_code": "US",
"telephone_number": "434-517-3910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee St",
"address_2": "Box 800681",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-9307",
"fax_number": "434-243-5791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VA",
"license": "0101267055",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdavis105607@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1300 Jefferson Park Ave",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229033363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.