Jason Evan Davis, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2017-00929 Issued in NC

Practice address

2934 N Elm St Ste E
Lumberton, NC 28358-2987

Phone

(910) 739-0022

Fax

(910) 739-0079

NPI assigned

Apr 28, 2008

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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 2

Specialty

General SurgeryAlso: Vascular Surgery

Education

Drexel University College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHP of North Carolina PCGroup PAC ID 1153570783, 26 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdavis79805@directmcleodehealth.org

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.

• DHP of North Carolina PC

  • Orthopaedic Surgery Physician
  • New Bern, NC
  • NPI 1780949032
  Medicare reassignment Care Compare group
• Moses Cone Physician Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1093953127

  Surgery

  Medicare reassignment NPD
• Southeastern Regional Medical Center

  • Clinic/Center
  • Lumberton, NC
  • NPI 1154399699
  Medicare reassignment NPD
• Southeastern Regional Physician Services

  • Multi-Specialty Clinic/Center
  • Lumberton, NC
  • NPI 1427282045
  Medicare reassignment NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494

  Surgery

  Medicare reassignment NPD
• Cornerstone Medical Center, PA

  • Family Medicine Physician
  • Burlington, NC
  • NPI 1548233182
  NPD
• Moses Cone Physician Services Inc

  dba Triad Hospitalists

  • Hospitalist Physician
  • Greensboro, NC
  • NPI 1326363383
  NPD
• Moses Cone Physician Services, Inc.

  dba Rockingham Surgical Associates

  • Surgery Physician
  • Reidsville, NC
  • NPI 1700317096
  NPD
• Southeastern Regional Medical Center

  dba Southeatern Behavioral Health Services

  • Neurology Physician
  • Lumberton, NC
  • NPI 1225307713
  NPD
• Southeastern Regional Medical Center

  dba Southeastern Radiology

  • Diagnostic Radiology Physician
  • Lumberton, NC
  • NPI 1932089612
  NPD
• Southeastern Regional Physician Services

  dba Southeastern Health Women's Clinic

  • Obstetrics & Gynecology Physician
  • Lumberton, NC
  • NPI 1093106445
  NPD
• Southeastern Regional Physician Services

  dba Southeastern Multi-Specialty Clinic at Gibson Cancer Center

  • Multi-Specialty Clinic/Center
  • Lumberton, NC
  • NPI 1265165518
  NPD

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1285809475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ROCKGLEN LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 N ELM ST STE E",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582987",
            "telephone_number": "910-739-0022",
            "fax_number": "910-739-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JASON",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2017-00929",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA09539300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Davis
• Dan Davis Jr., DMD
• Emily E Davis, OTR/L
• Field Davis, DO
• Grace Davis
• Jonna Morrison Davis, MSW
• Joseph E Davis Jr., LCSW
• Karen Davis, M.ED.,CCC-SLP
• Matthew Scott Davis, P.A.
• Megan Davis, OTR/L

• Surgery Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.