Individual provider Active NPI

James Louis Davis, M.D.

  • Infectious Disease Physician
  • Washington, DC
National Provider Identifier
1376679456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
10206 Issued in DC
Practice address
6939 Georgia Ave NW
Suite 103
Washington, DC 20012-2456
Phone
(202) 882-0288
Fax
(202) 882-0285
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 10206 DC Primary

Addresses

Primary practice location

6939 Georgia Ave NW
Suite 103
Washington, DC 20012-2456

Mailing address

PO Box 60894
Washington, DC 20039-0894
Phone (202) 882-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000103 DC Practitioner - Internal Medicine 7517924723 Practice locations: Washington, DC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10206DCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James L. Davis, M.D. P.C. Infectious Disease Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Premium Select Home Care IncWashington, DC, CCN 097050 Home health agency 5% Or Greater Direct Ownership Interest (20%)
Corporate Director
W-2 Managing Employee
Jul 24, 1996
Jul 24, 1996
Sep 22, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376679456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60894",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200390894",
            "telephone_number": "202-882-0288",
            "fax_number": "202-882-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 GEORGIA AVE NW",
            "address_2": "SUITE 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122456",
            "telephone_number": "202-882-0288",
            "fax_number": "202-882-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DC",
            "license": "10206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.