Active NPI
John Wayne Davis, DO
- Family Medicine Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 205442
- Practice address
- 2801 Debarr Rd
Anchorage, AK 99508-2932 - Phone
- (907) 276-1131
- NPI assigned
- Apr 1, 2020
- Last updated
- Mar 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | SL1661 | NV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | NV | ||
| Family Medicine Physician | 207Q00000X | 205442 | AK | Primary |
Addresses
Primary practice location
2801 Debarr Rd
Anchorage, AK 99508-2932
Mailing address
8941 Gowdy Ave
San Diego, CA 92123-3458
Other practice location 1
1664 N Virginia St # MS 0316
Reno, NV 89557-0001
Phone (775) 682-8648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
Practice addresses (Care Compare)
1415 Ross Ave
El Centro, CA 92243-4306
Phone (760) 339-4045
2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.87 of 100
- Quality
- 71.11
- Improvement activities
- 40
- Cost
- 69.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205442 | AK | MD | Family Medicine Physician |
| SL1661 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine of Ak, LLC | Current | Accepting new patients | |
| 24 On Physicians of California, PC | Current | Accepting new patients | |
| Hospitalist Services of Nevada-Scherr, PC | Current | Accepting new patients | |
| Galen Hospital Alaska, Inc. | Past | Accepting new patients |
Locations
2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222
207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- john.davis.p1@direct.nevadahealthcenters.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Anchorage, AK
- NPI 1346947470
-
- Hospitalist Physician
- Porterville, CA
- NPI 1730570565
-
- Hospitalist Physician
- Elko, NV
- NPI 1831573690
-
dba Alaska Regional Hospital
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Alaska Regional Hospital
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
-
dba Pioneers Memorial Hospital
- General Acute Care Hospital
- Brawley, CA
- NPI 1184429185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711756800000",
"number": "1275161473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8941 GOWDY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 DEBARR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082932",
"telephone_number": "907-276-1131"
}
],
"practiceLocations": [
{
"address_1": "1664 N Virginia St # MS 0316",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895570001",
"country_code": "US",
"telephone_number": "775-682-8648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JOHN",
"middle_name": "WAYNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2024-03-30",
"certification_date": "2024-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "SL1661",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "205442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.