NPIMap

Individual provider Active NPI

Daniel S. Davidson, M.D.

  • Family Medicine Physician
  • Searcy, AR
National Provider Identifier
1437128790
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5742 Issued in AR
Practice address
3130 E Race Ave
Suite 100
Searcy, AR 72143-4979
Phone
(501) 268-3232
Fax
(501) 268-7327
NPI assigned
Mar 17, 2006
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C5742 AR Primary

Addresses

Primary practice location

3130 E Race Ave
Suite 100
Searcy, AR 72143-4979

Mailing address

3130 E Race Ave
Suite 100
Searcy, AR 72143-4979
Phone (501) 268-3232

Other identifiers 1

IdentifierTypeStateIssuer
106551001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Daniel.Davidson@fpa.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000217 AR Practitioner - Internal Medicine 8729113683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

3130 E Race Ave
Searcy, AR 72143-4991
Phone (501) 268-3232

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions43
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5742ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince Nov 1, 2011 Accepting new patients
White County Medical Center CurrentSince Nov 1, 2011 Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients
White County Medical Center Past Accepting new patients

Locations

3130 E Race Ave
Ste 100
Searcy, AR 72143
Phone (501) 268-3232

Interoperability endpoints

  • Direct secure messaging: daniel.davidson@fpa.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1437128790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 E RACE AVE",
            "address_2": "SUITE 100",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434979",
            "telephone_number": "501-268-3232",
            "fax_number": "501-268-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E RACE AVE",
            "address_2": "SUITE 100",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434979",
            "telephone_number": "501-268-3232",
            "fax_number": "501-268-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "DANIEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106551001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daniel.Davidson@fpa.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3130 E Race Ave",
            "address_2": "Suite 100",
            "city": "Searcy",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721434979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.