Individual provider Active NPI

John Wayne Davis, DO

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1275161473
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205442 Issued in AK
Practice address
2801 Debarr Rd
Anchorage, AK 99508-2932
Phone
(907) 276-1131
NPI assigned
Apr 1, 2020
Last updated
Mar 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231006003179 NV Practitioner - Family Practice 5395159198 Reassigns benefits to 1 organization
I20240603002908 CA Practitioner - Family Practice 5395159198 Reassigns benefits to 1 organization
I20241204000009 AK Practitioner - Family Practice 5395159198 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
24 On Physicians of California PCGroup PAC ID 7012228992, 58 clinicians
Hospital Medicine of Ak LLCGroup PAC ID 5395100598, 35 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
205442AKMDFamily Medicine Physician
SL1661NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine of Ak, LLC CurrentSince Sep 26, 2024 Accepting new patients
24 On Physicians of California, PC CurrentSince Apr 6, 2024 Accepting new patients
Hospitalist Services of Nevada-Scherr, PC CurrentSince Sep 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.