John Lawrence Davisson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01077390A Issued in IN

Practice address

1000 N 16TH St
New Castle, IN 47362-4319

Phone

(765) 521-0890

Fax

(765) 521-1555

NPI assigned

May 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Internal Medicine

Education

University of Kentucky College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030
• Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Henry County Memorial Hospital

  • Family Medicine Physician
  • New Castle, IN
  • NPI 1891570537

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Community Physicians of Indiana Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1619105244

  Internal Medicine

  Medicare reassignment NPD
• Community Physicians of Indiana Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Carmel, IN
  • NPI 1992396337
  NPD
• Henry County Memorial Hospital

  • Internal Medicine Physician
  • New Castle, IN
  • NPI 1760800155
  NPD
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1952452815
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry County Memorial Hospital

  • General Acute Care Hospital
  • New Castle, IN
  • NPI 1356428429
  Care Compare affiliation
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  Care Compare affiliation

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

{
    "created_epoch": "1337990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1194085902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-521-0890",
            "fax_number": "765-521-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 16TH ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624319",
            "telephone_number": "765-521-0890",
            "fax_number": "765-521-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9669 E 146th St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605005",
            "country_code": "US",
            "telephone_number": "317-621-6300",
            "fax_number": "317-621-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9669 E 146th St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605005",
            "country_code": "US",
            "telephone_number": "317-621-6300",
            "fax_number": "317-621-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISSON",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-26",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "48216",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01077390A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201377670",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01723965",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "henrycommunityhealth@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 N 16th St",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473624319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karey Linne Davis, PA-C
• Lindi Jean Davis, FNP-C
• Matthew Davis, MSW
• Michael Shane Davis, MSW
• Andrew Mark Davisson, M.D.
• Mark E Davisson, M.D.
• Rebecca S. Davisson, M.D.
• Melinda Detar, LMHC
• Diane Detering
• Jordan E Dicken

• Internal Medicine Physician in New Castle, IN
• Providers in New Castle, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.