Henry Horton Davis III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60640294 Issued in WA

Practice address

18269 Colony Dr Unit 401
Fairhope, AL 36532-1148

Phone

(251) 421-1995

Fax

(251) 625-1507

NPI assigned

Feb 27, 2006

Last updated

Apr 28, 2023By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, OR, HI3 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

Specialty

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hana HealthGroup PAC ID 0749192920, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: henry.horton.davis.iii.1@9596.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9596/brand/1/csg/1/fhir/r4

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.

• Hana Health

  • Federally Qualified Health Center (FQHC)
  • Hana, HI
  • NPI 1992811954
  Medicare reassignment Care Compare group NPD
• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303
  Medicare reassignment
• Gulf Health Hospitals, Inc.

  dba Thomas Hospital Internal Medicine Clinic

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1194335877
  Medicare reassignment
• Lane County Oregon

  dba Community health Centers of Lane County

  • Federally Qualified Health Center (FQHC)
  • Springfield, OR
  • NPI 1326138314
  Medicare reassignment
• Franklin Primary Health Center Inc

  dba West Mobile Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1154551703

  Family Medicine

  NPD
• Imc-Eastern Shore Family Practice LLC

  • Family Medicine Physician
  • Daphne, AL
  • NPI 1235659319
  NPD (past)
• Hana Health

  • Family Medicine Physician
  • Hana, HI
  • NPI 1992728828
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1346216421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620146",
            "telephone_number": "360-417-7111",
            "fax_number": "360-417-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18269 COLONY DR UNIT 401",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321148",
            "telephone_number": "251-421-1995",
            "fax_number": "251-625-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Georgiana St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623911",
            "country_code": "US",
            "telephone_number": "360-565-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 N 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823045",
            "country_code": "US",
            "telephone_number": "360-582-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HENRY",
        "middle_name": "HORTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "180693",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "22834",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11870",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60640294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa K. Cusa, M.D.
• Sherlyn Daigrepont
• Ashton Dale, LPC, NCC, CAC
• Daniel K Stubler MD PC
• Wendy L Davidson, MD
• Jennifer M Davis, DPT, OCS
• Randall Ray Davis, REGISTERED NURSE
• Robert Arthur Dawson, PA-C
• Loretta M Dean, RN
• Mollie Wallace Dean, CRNP

• Family Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.