Ronald G Davis, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

ME81662 Issued in FL

Practice address

1245 W Fairbanks Ave Ste 305
Winter Park, FL 32789-4878

Phone

(407) 293-1122

Fax

(833) 428-3595

NPI assigned

May 28, 2006

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECIGDD
• Direct secure messaging: ronald.davis.1@18767.direct.athenahealth.com

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.

• Pediatric Neurology PA

  • Pediatric Neurodevelopmental Disabilities Physician
  • Orlando, FL
  • NPI 1417129602
  NPD
• Center for Specialized Dentistry, LLC

  • Periodontics
  • Stuart, FL
  • NPI 1780708701
  NPD (past)
• Florida Diabetes Thyroid & Endocrine Center PL

  dba Heart, Vascular and Metabolic Institute

  • Endocrinology, Diabetes & Metabolism Physician
  • Orlando, FL
  • NPI 1447531140
  NPD (past)
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265585806
  NPD (past)
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1386658615
  NPD (past)
• Pediatric Neurology and Epilepsy Specialists, PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Denver, CO
  • NPI 1801611421
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1396792024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 W FAIRBANKS AVE STE 305",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894878",
            "telephone_number": "407-293-1122",
            "fax_number": "407-253-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 W FAIRBANKS AVE STE 305",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894878",
            "telephone_number": "407-293-1122",
            "fax_number": "833-428-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RONALD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "78317",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME81662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262510500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedi Davis
• Lara Davis, PSY.D.
• Lorraine K Davis
• Marnie Davis, MA, LMHC, CEDS
• Natalya Olivia Davis, DPT
• Ryan Alexander Davis, M.D.
• Sheila Anita Davis, ED.D, LMHC, NCC
• Steven M Davis, M.D.
• Davita Medical Group Florida Cin
• Alajha Nichole Dawson

• Neurology with Special Qualifications in Child Neurology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.