NPIMap

Individual provider Active NPI

Giovanti Davis, DO

  • Family Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1205458064
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34016638 Issued in OH
Practice address
28555 Starbright Blvd Ste B
Perrysburg, OH 43551-5662
Phone
(419) 931-3030
Fax
(419) 931-3046
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34016638 OH Primary

Addresses

Primary practice location

28555 Starbright Blvd Ste B
Perrysburg, OH 43551-5662

Mailing address

28555 Starbright Blvd Ste B
Perrysburg, OH 43551-5662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726002869 OH Practitioner - Family Practice 4880016815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

2222 Cherry St
Toledo, OH 43608-2675

Hospital & facility affiliations

  • Med1Care, LLC Home health agency, Findlay, OH, CCN 368362
  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Elara Caring Home health agency, Toledo, OH, CCN 367730
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34016638OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians - North, LLC CurrentSince Jul 31, 2023 Accepting new patients
Mercy Health Physicians-North LLC Family Medicine CurrentSince Jul 31, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health System Northern Past Accepting new patients

Locations

28555 Starbright Blvd
Ste B
Perrysburg, OH 43551
Phone (419) 931-3030

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Interoperability endpoints

  • Direct secure messaging: gdavis2184422@direct.bsmhealth.org

Organizations & group practices 4

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 8

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1205458064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28555 STARBRIGHT BLVD STE B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28555 STARBRIGHT BLVD STE B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515662",
            "telephone_number": "419-931-3030",
            "fax_number": "419-931-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GIOVANTI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34016638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.