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

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hana Health

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

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

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

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

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1154551703
  NPD FAMILY MEDICINE
• Imc-Eastern Shore Family Practice LLC

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

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

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 Health 15 clinicians

Practice addresses (Care Compare)

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.

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2023.

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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

• All providers in Fairhope, AL
• 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.