Active NPI
Carl Alexander Davis, M.D.
- Family Medicine Physician
- Nacogdoches, TX
National Provider Identifier
1376594044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L8030
- Practice address
- 4701 NE Stallings Dr
Nacogdoches, TX 75965 - Phone
- (936) 305-4155
- Fax
- (936) 305-4156
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L8030 | TX | Primary |
Addresses
Primary practice location
4701 NE Stallings Dr
Nacogdoches, TX 75965
Mailing address
4701 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 305-4155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166129001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040723001007 | TX | Practitioner - Family Practice | 8426038985 | Practice locations: Nacogdoches, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
613 Russell Blvd
Nacogdoches, TX 75965-1247
Phone (936) 305-4155
Hospital & facility affiliations
- Nacogdoches Medical Center
- Nacogdoches Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 50 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 12 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piney Woods Orthopedics | Current | Accepting new patients | |
| Carl a Davis MD | Family Medicine | Past | Accepting new patients |
Locations
613 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 305-4155
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHIFBA/Endpoint/HHIFBA
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Nacogdoches, TX
- NPI 1194668004
-
- Orthopaedic Surgery Physician
- Nacogdoches, TX
- NPI 1437686227
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
-
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
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": "1769558400000",
"number": "1376594044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "75965",
"telephone_number": "936-305-4155",
"fax_number": "936-305-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "75965",
"telephone_number": "936-305-4155",
"fax_number": "936-305-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CARL",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L8030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166129001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.