Individual provider Active NPI

Charlyce Erin Davis, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1144360256
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23913 Issued in OK
Practice address
4629 NW 23Rd St
Oklahoma City, OK 73127-2103
Phone
(405) 251-8880
Fax
(405) 665-7024
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C55529 CA
Internal Medicine Physician 207R00000X 23913 OK Primary

Addresses

Primary practice location

4629 NW 23Rd St
Oklahoma City, OK 73127-2103

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Other practice location 1

608 NW 9th St Ste 4000
Oklahoma City, OK 73102-1058
Phone (405) 272-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070706000227 OK Practitioner - Internal Medicine 7315047206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55529CAMDInternal Medicine Physician
23913OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Archwell Health Professional Services of Oklahoma, LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Saints Medical Group, LLC CurrentSince Feb 1, 2020 Accepting new patients
Guiding Right, Inc. CurrentSince Oct 17, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

2809 NW 31st St
Oklahoma City, OK 73112
Phone (405) 733-0771

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

4629 NW 23rd St
Oklahoma City, OK 73127
Phone (405) 251-8880

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

608 NW 9th St
Ste 4000
Oklahoma City, OK 73102
Phone (405) 272-6281

3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: cdavi180@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/20973/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1144360256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "fax_number": "615-692-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731272103",
            "telephone_number": "405-251-8880",
            "fax_number": "405-665-7024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 NW 9th St Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021058",
            "country_code": "US",
            "telephone_number": "405-272-5433",
            "fax_number": "405-272-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARLYCE",
        "middle_name": "ERIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C55529",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.