Gaither G Davis, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME48976 Issued in FL

Practice address

13910 Lakeshore Blvd
Ste 120
Hudson, FL 34667

Phone

(727) 862-3588

Fax

(727) 862-3588

NPI assigned

Jan 18, 2006

Reactivated

Jul 31, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1386624393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 LAKESHORE BLVD",
            "address_2": "STE 120",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-862-3588",
            "fax_number": "727-868-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 LAKESHORE BLVD",
            "address_2": "STE 120",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-862-3588",
            "fax_number": "727-862-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GAITHER",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-07-31",
        "certification_date": "2024-05-06",
        "deactivation_date": "2024-06-28",
        "reactivation_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME48976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Dasilva
• David R Hirschauer DO PA
• David W. Malka MD, PA
• Bernard Scott Davis, PA-C
• Betty L. Davis, MS, RD, LDN, CNSD
• Rachel Genowefa Dawson, MD
• Prakas Thomas Dcunha, MD
• Jessica A De Armas Moreno, RBT
• Debby'S House of Hearing LLC
• Mindy Lynn Decker, RPHT

• Otolaryngology Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.