Individual provider Active NPI

James P Davison, D.O

  • General Practice Physician
  • Gainesville, FL
National Provider Identifier
1104855626
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS6618 Issued in FL
Practice address
3581 SW Archer Rd Ste 40
Gainesville, FL 32608-2428
Phone
(352) 888-4449
NPI assigned
Jun 30, 2006
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS6618 FL Primary

Addresses

Primary practice location

3581 SW Archer Rd Ste 40
Gainesville, FL 32608-2428

Mailing address

17823 Hickory Moss PL
Tampa, FL 33647-2285
Phone (813) 486-2694

Other identifiers 1

IdentifierTypeStateIssuer
373266500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20070612000697 FL Practitioner - Emergency Medicine 2961500178 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS6618FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. General Practice CurrentSince Aug 1, 2016 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC General Practice CurrentSince Nov 4, 2018 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince May 25, 2025 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC General Practice CurrentSince Nov 4, 2018 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince May 25, 2025 Accepting new patients
Dwic of Tampa Bay, Inc. General Practice Current Accepting new patients
Dwic of Tampa Bay, Inc General Practice Past Accepting new patients
Ipn Emergency Physicians of North Florida PA Emergency Medicine Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Interoperability endpoints

  • Direct secure messaging: jdavison140452@uihcdirect.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1104855626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17823 HICKORY MOSS PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472285",
            "telephone_number": "813-486-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 SW ARCHER RD STE 40",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082428",
            "telephone_number": "352-888-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS6618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373266500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.