Individual provider Active NPI

Christy Lynn Davis, MD

  • Adult Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1518925973
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME112112 Issued in FL
Practice address
1430 Mason Ave
Daytona Beach, FL 32117-4551
Phone
(386) 274-2000
Fax
(386) 274-2009
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME112112 FL Primary

Addresses

Primary practice location

1430 Mason Ave
Daytona Beach, FL 32117-4551

Mailing address

29 Twin River Dr
Ormond Beach, FL 32174-4834
Phone (269) 274-4431

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
I20120426000291 FL Practitioner - Family Practice 0749204527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dna Center LLCGroup PAC ID 7618108978, 7 clinicians

Practice addresses (Care Compare)

1430 Mason Ave
Daytona Beach, FL 32117-4551
Phone (386) 274-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Center LLC CurrentSince Sep 21, 2020 Accepting new patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Dec 19, 2023 Accepting new patients
Metcare of Florida, Inc Past Accepting new patients

Locations

1430 Mason Ave
Daytona Beach, FL 32117
Phone (386) 274-2000

4750 N Federal Hwy
Ste 100
Ft Lauderdale, FL 33308
Phone (301) 760-3226

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4
  • Direct secure messaging: cdavis@ormondm.curemd.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1518925973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TWIN RIVER DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744834",
            "telephone_number": "269-274-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174551",
            "telephone_number": "386-274-2000",
            "fax_number": "386-274-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME112112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.