Individual provider Active NPI

Don Allen Davis, MD

  • Cardiovascular Disease Physician
  • Panama City, FL
National Provider Identifier
1154528693
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME120200 Issued in FL
Practice address
1834 Lisenby Ave
Panama City, FL 32405-3761
Phone
(850) 215-6008
Fax
(850) 215-6020
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME120200 FL Primary
Internal Medicine Physician 207R00000X ME120200 FL

Addresses

Primary practice location

1834 Lisenby Ave
Panama City, FL 32405-3761

Mailing address

1834 Lisenby Ave
Panama City, FL 32405-3761
Phone (850) 215-6008

Other identifiers 1

IdentifierTypeStateIssuer
002428300MedicaidFL

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
I20100923000590 FL Practitioner - Internal Medicine 2062538432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Heart and Vascular LLCGroup PAC ID 1254714694, 6 clinicians

Practice addresses (Care Compare)

2428 Jenks Ave
Panama City, FL 32405-4304
Phone (850) 215-6008

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME120200FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
90 Minute Diagnostics LLC CurrentSince Mar 1, 2024 Accepting new patients
Gulf Coast Heart and Vascular LLC Cardiovascular Disease CurrentSince Jul 6, 2022 Accepting new patients

Locations

6415 Lake Worth Rd
Ste 102
Greenacres, FL 33463
Phone (561) 327-6977

2428 Jenks Ave
Panama City, FL 32405
Phone (317) 696-3288

1834 Lisenby Ave
Panama City, FL 32405
Phone (850) 215-6008

11903 Panama City Beach Pkwy
Unit A
Panama City Beach, FL 32407
Phone (850) 253-0189

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGFICD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1154528693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053761",
            "telephone_number": "850-215-6008",
            "fax_number": "850-215-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053761",
            "telephone_number": "850-215-6008",
            "fax_number": "850-215-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME120200",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002428300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.