Individual provider Active NPI

Clayton H. Davis, M.D.

  • Family Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1205923554
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20121 Issued in AL
Practice address
209 W Spring St
Suite 102
Sylacauga, AL 35150-2973
Phone
(256) 401-4686
Fax
(256) 401-4694
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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 20121 AL Primary

Addresses

Primary practice location

209 W Spring St
Suite 102
Sylacauga, AL 35150-2973

Mailing address

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 401-4606

Other identifiers 1

IdentifierTypeStateIssuer
000040632MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100819001172 AL Practitioner - Family Practice 6608900030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Sylacauga Health Care AuthorityGroup PAC ID 5294710398, 44 clinicians

Practice addresses (Care Compare)

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 401-4467

33733 US Hwy 280
Childersburg, AL 35044-3017
Phone (256) 378-3301

9518 US Hwy 231
Rockford, AL 35136-5214
Phone (256) 377-4366

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Sylacauga, AL, CCN 017085
  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Coosa Valley Hospice Hospice, Sylacauga, AL, CCN 011661
  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164
  • Citizens Baptist Medical Center Hospital, Talladega, AL, CCN 010101
  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
  • Coosa Valley Healthcare Center Nursing home, Sylacauga, AL, CCN 015010

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
58.1
Promoting interoperability
96
Improvement activities
40
Cost
72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Family Medicine Current Accepting new patients
Sylacauga Health Care Authority Inc Past Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

209 W Spring St
Sylacauga, AL 35150
Phone (256) 249-0028

209 W Spring St
Ste 102
Sylacauga, AL 35150
Phone (256) 401-4686

320 Coosa St E
Talladega, AL 35160
Phone (205) 362-3636

Interoperability endpoints

  • Direct secure messaging: clayton.davis@cvmc.eclinicaldirectplus.com

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 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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1205923554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-401-4606",
            "fax_number": "256-401-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 102",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-401-4686",
            "fax_number": "256-401-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CLAYTON",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000040632",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.