Individual provider Active NPI

Thomas Preston Davis, M.D.

  • Trauma Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1164495040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
044440 Issued in GA
Practice address
1148 Kingsbury Dr
Chesapeake, VA 23322-4264
Phone
(757) 546-8013
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 044440 GA Primary

Addresses

Primary practice location

1148 Kingsbury Dr
Chesapeake, VA 23322-4264

Mailing address

1148 Kingsbury Dr
Chesapeake, VA 23322-4264
Phone (757) 546-8013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140619002342 NC Practitioner - General Surgery 8426272113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of North Carolina PCGroup PAC ID 1153570783, 26 clinicians

Practice addresses (Care Compare)

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8005

2007 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044440GAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of North Carolina PC CurrentSince Mar 25, 2014 Accepting new patients

Locations

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

Interoperability endpoints

  • Direct secure messaging: tdavis21752@carolinaeastmc.direct-ci.com

Organizations & group practices 1

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 1

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164495040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 KINGSBURY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224264",
            "telephone_number": "757-546-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 KINGSBURY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224264",
            "telephone_number": "757-546-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "THOMAS",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "GA",
            "license": "044440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.