Individual provider Active NPI

Matthew Warren Davis, D.P.M.

  • Podiatrist
  • Waynesville, NC
National Provider Identifier
1356599096
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
563 Issued in NC
Practice address
289 Access Rd
Waynesville, NC 28785-9006
Phone
(828) 452-4343
NPI assigned
Sep 6, 2008
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 563 NC Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 563 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 563 NC
Foot Surgery Podiatrist 213ES0131X 563 NC

Addresses

Primary practice location

289 Access Rd
Waynesville, NC 28785-9006

Mailing address

289 Access Rd
Waynesville, NC 28785-9006
Phone (828) 452-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20111003000427 NC Practitioner - Podiatry 0941472625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smoky Mountain Foot Clinic PAGroup PAC ID 5991706699, 7 clinicians

Practice addresses (Care Compare)

188 Georgia Rd
Franklin, NC 28734-3246
Phone (828) 452-4343

289 Access Rd
Waynesville, NC 28785-9006
Phone (828) 452-4343

35 NC Hwy 141
Murphy, NC 28906-6858
Phone (828) 835-8389

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue28
Removal of nail tissue1360
Removal or shaving of skin growth228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
563NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smoky Mountain Foot Clinic PA Podiatrist CurrentSince Aug 1, 2011 Accepting new patients
Smoky Mountain Foot Clinic PA Podiatrist CurrentSince Aug 1, 2011 Accepting new patients
Smoky Mountain Foot Clinic PA Podiatrist Past Accepting new patients
Sunrise Vascular Center Past Accepting new patients

Locations

49 McDowell St
Asheville, NC 28801
Phone (828) 252-0331

74 Eastgate Dr
Sylva, NC 28779
Phone (828) 586-7448

289 Access Rd
Waynesville, NC 28785
Phone (828) 452-4343

Organizations & group practices 4

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 2

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": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1356599096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 ACCESS RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287859006",
            "telephone_number": "828-452-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 ACCESS RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287859006",
            "telephone_number": "828-452-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-06",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "563",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "563",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "563",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.