Active NPI
Debra Stewart Davis, M.D.
- Internal Medicine Physician
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18350
- Practice address
- 701 University Blvd E
Suite 810
Tuscaloosa, AL 35401-2086 - Phone
- (205) 366-0009
- Fax
- (205) 366-0097
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18350 | AL | Primary |
Addresses
Primary practice location
701 University Blvd E
Suite 810
Tuscaloosa, AL 35401-2086
Mailing address
701 University Blvd E
Suite 810
Tuscaloosa, AL 35401-2086
Phone (205) 366-0009
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051526799 | Medicaid | AL | |
| P00219609 | Other | AL | MEDICARE RAILROAD |
| 051526799 | Other | AL | BLUE CROSS/BLUE SHIELD OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040428001608 | AL | Practitioner - Internal Medicine | 2567459720 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18350 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| Capstone Health Services Foundation PC | Current | Accepting new patients |
Locations
2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500
6205 Jemison Ln
Northport, AL 35476
Phone (205) 348-6122
850 Peter Bryce Blvd
Tuscaloosa, AL 35401
809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661
Interoperability endpoints
- debra.davismd.p1@direct.umc.nextgenshare.com
Organizations & group practices 2
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.
-
- Neurology Physician
- Tuscaloosa, AL
- NPI 1255212353
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Northport, AL
- NPI 1093773319
-
- Home Health Agency
- Hoover, AL
- NPI 1629539077
-
- Home Health Agency
- Hoover, AL
- NPI 1962459438
-
- Home Health Agency
- Birmingham, AL
- NPI 1194324624
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Alabama School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capstone Health Services Foundation PC
Practice addresses (Care Compare)
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770
Hospital & facility affiliations
- Amedisys Home Health of Tuscaloosa
- Enhabit Home Health
- Centerwell Home Health
- Prohealth Home Health, LLC
- DCH Regional Medical Center
- Fayette Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.28 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 80.93
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1508933748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 UNIVERSITY BLVD E",
"address_2": "SUITE 810",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012086",
"telephone_number": "205-366-0009",
"fax_number": "205-366-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 UNIVERSITY BLVD E",
"address_2": "SUITE 810",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012086",
"telephone_number": "205-366-0009",
"fax_number": "205-366-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEBRA",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "18350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051526799",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00219609",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD OF ALABAMA",
"identifier": "051526799",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.
- 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.