Individual provider Active NPI

Joseph Bartlett Davis, D.O.

  • Reproductive Endocrinology Physician
  • Winter Haven, FL
National Provider Identifier
1578754875
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
OS19325 Issued in FL
Practice address
180 Avenue a SE
Winter Haven, FL 33880-6301
Phone
(407) 748-6461
Fax
(917) 451-6327
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X OS19325 FL Primary
Reproductive Endocrinology Physician 207VE0102X 255869 NY

Addresses

Primary practice location

180 Avenue a SE
Winter Haven, FL 33880-6301

Mailing address

8340 Via Vittoria Way
Orlando, FL 32819-5423
Phone (407) 748-6461

Other practice location 1

1865 Nightingale Ln
Tavares, FL 32778-4321
Phone (407) 748-6461

Other identifiers 2

IdentifierTypeStateIssuer
255869OtherNYNEW YORK STATE MEDICAL LICENSE
OS19325OtherFLFLORIDA STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS19325FLMDReproductive Endocrinology Physician
255869NYMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Integrative Fertility, PA Reproductive Endocrinology Current Accepting new patients
SGF Orlando, LLC Reproductive Endocrinology PastSince Mar 24, 2025 Accepting new patients
SGF Tampa Bay LLC Reproductive Endocrinology Past Accepting new patients

Locations

180 Avenue A SE
Winter Haven, FL 33880
Phone (863) 293-2107

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1578754875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 VIA VITTORIA WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195423",
            "telephone_number": "407-748-6461",
            "fax_number": "917-451-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 AVENUE A SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806301",
            "telephone_number": "407-748-6461",
            "fax_number": "917-451-6327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Nightingale Ln",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784321",
            "country_code": "US",
            "telephone_number": "407-748-6461",
            "fax_number": "917-451-6327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSEPH",
        "middle_name": "BARTLETT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "OS19325",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "255869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE MEDICAL LICENSE",
            "identifier": "255869",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE MEDICAL LICENSE",
            "identifier": "OS19325",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.