Individual provider Active NPI

Troy Anthony Davis, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Martinsville, VA
National Provider Identifier
1386107472
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
0101284444 Issued in VA
Practice address
8500 Al Philpott Hwy
Martinsville, VA 24112-1495
Phone
(276) 226-9925
NPI assigned
Apr 7, 2019
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 0101284444 VA Primary

Addresses

Primary practice location

8500 Al Philpott Hwy
Martinsville, VA 24112-1495

Mailing address

8500 Al Philpott Hwy
Martinsville, VA 24112-1495
Phone (276) 226-9925

Other practice location 1

1006 E Main St
Pulaski, VA 24301-5218
Phone (540) 980-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200707001149 VA Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 6507289709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101284444VAMDAddiction Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Treatment Services, LLC PastSince Jan 2, 2022 Accepting new patients

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": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1386107472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 AL PHILPOTT HWY",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121495",
            "telephone_number": "276-226-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 AL PHILPOTT HWY",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121495",
            "telephone_number": "276-226-9925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 E Main St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "VA",
            "postal_code": "243015218",
            "country_code": "US",
            "telephone_number": "540-980-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TROY",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "VA",
            "license": "0101284444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.