Individual provider Active NPI

Jeffrey L Davis, DPM

  • Primary Podiatric Medicine Podiatrist
  • Concord, NH
National Provider Identifier
1336190198
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0267 Issued in NH
Practice address
248 Pleasant St
Suite 203
Concord, NH 03301-2588
Phone
(603) 225-5281
Fax
(603) 228-7095
NPI assigned
May 15, 2006
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 0267 NH Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 0267 NH

Addresses

Primary practice location

248 Pleasant St
Suite 203
Concord, NH 03301-2588

Mailing address

248 Pleasant St
Suite 203
Concord, NH 03301-2588
Phone (603) 225-5281

Other identifiers 1

IdentifierTypeStateIssuer
30007495MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000901 NH Practitioner - Podiatry 5799704276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliates in Podiatry PCGroup PAC ID 6002825254, 5 clinicians

Practice addresses (Care Compare)

169 Daniel Webster Hwy
Meredith, NH 03253-5648
Phone (603) 279-0330

248 Pleasant St
Suite 203
Concord, NH 03301-2588
Phone (603) 225-5281

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions192
Removal of nail tissue546
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
267NHMDClinical Social Worker
0267NHMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Podiatry PC Primary Podiatric Medicine CurrentSince Dec 5, 1994 Accepting new patients
Affiliates in Podiatry PC Primary Podiatric Medicine CurrentSince Dec 5, 1994 Accepting new patients

Locations

248 Pleasant St
Ste 203
Concord, NH 03301
Phone (603) 225-5281

169 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-0330

Interoperability endpoints

  • Direct secure messaging: jdavis@usfas.emadirect.md

Organizations & group practices 2

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 1

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1336190198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE 203",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-225-5281",
            "fax_number": "603-228-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE 203",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-225-5281",
            "fax_number": "603-228-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NH",
            "license": "0267",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NH",
            "license": "0267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007495",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.