NPIMap

Individual provider Active NPI

Alonzo James Davis IV, MD

  • Internal Medicine Physician
  • Morehead City, NC
National Provider Identifier
1114001583
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9401169 Issued in NC
Practice address
221A Professional Cir
Morehead City, NC 28557-4303
Phone
(252) 726-5767
Fax
(252) 726-7573
NPI assigned
Oct 24, 2006
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9401169 NC Primary

Addresses

Primary practice location

221A Professional Cir
Morehead City, NC 28557-4303

Mailing address

221A Professional Cir
Morehead City, NC 28557-4303
Phone (252) 726-5767

Other identifiers 2

IdentifierTypeStateIssuer
27291OtherNCBLUE CROSS/BLUE SHIELD NC
8927768MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20031120000875 NC Practitioner - Internal Medicine 2163336421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Brody School of Medicine at East Carolina University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Coast Medical Center PCGroup PAC ID 2365356623, 3 clinicians

Practice addresses (Care Compare)

221 A Professional Cir
Morehead City, NC 28557-4303
Phone (252) 726-5767

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 499-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions48
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret County General Hospital Corporation CurrentSince Oct 1, 2000 Accepting new patients
Atlantic Coast Medical Center PC Internal Medicine CurrentSince Sep 4, 2003 Accepting new patients

Locations

221A Professional Cir
Morehead City, NC 28557
Phone (252) 240-1765

306 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Organizations & group practices 2

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 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1114001583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221A PROFESSIONAL CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574303",
            "telephone_number": "252-726-5767",
            "fax_number": "252-726-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221A PROFESSIONAL CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574303",
            "telephone_number": "252-726-5767",
            "fax_number": "252-726-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALONZO",
        "middle_name": "JAMES",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9401169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD NC",
            "identifier": "27291",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8927768",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.