Davis Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14309 Issued in AL

Legal business name

DAVIS FAMILY MEDICINE

Practice address

223 Dallas Ave
Selma, AL 36701-5744

Phone

(334) 874-0017

Fax

(334) 872-6563

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glenton W Davis Sr., MDNPI 1962475046

Title

Owner

Phone

(334) 874-0017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenton W Davis, M.D.

  • Family Medicine Physician
  • Selma, AL
  • NPI 1962475046
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1427238997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015744",
            "telephone_number": "334-874-0017",
            "fax_number": "334-872-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015744",
            "telephone_number": "334-874-0017",
            "fax_number": "334-872-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GLENTON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-874-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas County Health Dept VFC Immun
• Dallas Emergency Group LLC
• Das & Das M.D., P.C.
• Subramonium K Das, M.D.
• David W. Hodo, M.D., P.a.
• Glenton W Davis, M.D.
• Olivia Grayson Davis, FNP
• Deidre J. Russell, M.D.,LLC
• Mezzy Anne Bernardino Dela Pierre, RN, BSN
• Glenn Ray Delp, M.D.

• Family Medicine Physician in Selma, AL
• Providers in Selma, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.