Individual provider Active NPI

Christina Jo Davison, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salem, VA
National Provider Identifier
1164908653
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301355 Issued in VA
Practice address
1934 Braeburn Dr
Salem, VA 24153-7302
Phone
(540) 982-0253
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301355 VA Primary

Addresses

Primary practice location

1934 Braeburn Dr
Salem, VA 24153-7302

Mailing address

2552 Orange Ave NE Apt 305
Roanoke, VA 24012-6275
Phone (307) 679-0314

Other practice location 1

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601000061 VA Practitioner - Podiatry 7719365956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Foot and Ankle Specialists IncGroup PAC ID 7719212380, 2 clinicians

Practice addresses (Care Compare)

876 E Main St
Unit B
Bedford, VA 24523-2904
Phone (540) 587-6963

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue123
Removal of skin lesions1-10
Removal of nail tissue298
Removal or shaving of skin growth241
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301355VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Foot & Ankle Specialists Inc Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
Salem Foot & Ankle Specialists Inc Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

876 E Main St
#B
Bedford, VA 24523
Phone (540) 587-6963

1934 Braeburn Dr
Salem, VA 24153
Phone (540) 982-0253

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 7

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1164908653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 ORANGE AVE NE APT 305",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126275",
            "telephone_number": "307-679-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-982-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Broadway",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124014626",
            "country_code": "US",
            "telephone_number": "845-331-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "CHRISTINA",
        "middle_name": "JO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.