Active NPI
David Davis, RN
- Administrator Registered Nurse
- Fort Gordon, GA
National Provider Identifier
1295165678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN208404
- Practice address
- Dwight David Eisenhower Army Medical Center
Office 4a-28
Fort Gordon, GA 30905 - Phone
- (706) 787-0433
- Fax
- (706) 787-0005
- NPI assigned
- Nov 20, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN208404 | GA | Primary |
Addresses
Primary practice location
Dwight David Eisenhower Army Medical Center
Office 4a-28
Fort Gordon, GA 30905
Mailing address
Naval Air Station
Bermuda
Apo, AE 02469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN208404 | GA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1295165678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "NAVAL AIR STATION",
"address_2": "BERMUDA",
"city": "APO",
"state": "AE",
"postal_code": "02469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER",
"address_2": "OFFICE 4A-28",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-0433",
"fax_number": "706-787-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DAVID",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-20",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "GA",
"license": "RN208404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.