Individual provider Active NPI

Valerie G. Davis, M.D.

  • Procedural Dermatology Physician
  • New Smyrna Beach, FL
National Provider Identifier
1457332819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
ME0051662 Issued in FL
Practice address
504 S Orange St
New Smyrna Beach, FL 32168-7319
Phone
(386) 423-2218
Fax
(386) 427-0980
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X ME0051662 FL Primary
Procedural Dermatology Physician 207NS0135X 54808 GA

Addresses

Primary practice location

504 S Orange St
New Smyrna Beach, FL 32168-7319

Mailing address

504 S Orange St
New Smyrna Beach, FL 32168-7319
Phone (386) 423-2218

Other identifiers 1

IdentifierTypeStateIssuer
047966700MedicaidFL

Other names 1

  • Dr. Valerie G. Davis Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100824001190 FL Practitioner - Dermatology 7810011095 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: New Smyrna Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Davis Dermatology, PAGroup PAC ID 1850650540, 2 clinicians

Practice addresses (Care Compare)

504 S Orange St
New Smyrna Beach, FL 32168-7319
Phone (386) 423-2218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.33 of 100Reported as individual
Quality
96.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision256
Removal of tissue1-10
Removal of skin lesions1015
Removal or shaving of skin growth345
Skin biopsy621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0051662FLMDProcedural Dermatology Physician
54808GAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Dermatology, PA Procedural Dermatology CurrentSince Sep 28, 2017 Accepting new patients

Locations

504 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 256-1969

Interoperability endpoints

  • Direct secure messaging: vdavis@davisderm.emadirect.md

Practitioners & affiliated clinicians

Practitioners 1

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457332819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S ORANGE ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687319",
            "telephone_number": "386-423-2218",
            "fax_number": "386-427-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S ORANGE ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687319",
            "telephone_number": "386-423-2218",
            "fax_number": "386-427-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VALERIE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0051662",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "54808",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047966700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "DAVIS",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.