Cory Davis, PRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.003598 Issued in OH

Practice address

456 Hunter Ave
Dayton, OH 45404-1564

Phone

(850) 467-1290

NPI assigned

Dec 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1356051114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 HUNTER AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041564",
            "telephone_number": "850-467-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 HUNTER AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041564",
            "telephone_number": "850-467-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CORY",
        "credential": "PRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.003598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavis@recoverycenterofohio.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "456 Hunter Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454041564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Autumn Joy Davis, PT,DPT
• Bernice Lynn Davis, CCC-SLP
• Breanna Davis
• Brendon Jaymes Davis
• Collin Davis, MD
• Cory Duwayne Davis Sr.
• Cory William Davis, M.D.
• Crystal Lynn Davis
• Daarina Afiya Davis, RN
• Danika R Davis, CNA

• Peer Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.