Individual provider Active NPI

Deborah J Davis, MD

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1598737678
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12761 Issued in SC
Practice address
1228 Harden St
Columbia, SC 29204-1800
Phone
(803) 744-0540
Fax
(803) 744-0542
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12761 SC Primary

Addresses

Primary practice location

1228 Harden St
Columbia, SC 29204-1800

Mailing address

1228 Harden St
Columbia, SC 29204-1800
Phone (803) 744-0540

Other identifiers 1

IdentifierTypeStateIssuer
127614MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040806000041 SC Practitioner - Obstetrics/Gynecology 3476525965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1228 Harden St
Columbia, SC 29204-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12761SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Dec 8, 2012 Accepting new patients
Eau Claire Cooperative Health Center, Inc. Obstetrics & Gynecology CurrentSince Dec 8, 2012 Accepting new patients

Locations

2117 Gervais St
Columbia, SC 29204
Phone (803) 744-0540

1228 Harden St
Columbia, SC 29204
Phone (803) 744-0540

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

Interoperability endpoints

  • Direct secure messaging: deborah.davis.1@10781.direct.athenahealth.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.

Hospital & facility affiliations 7

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1598737678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-744-0540",
            "fax_number": "803-744-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-744-0540",
            "fax_number": "803-744-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "12761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127614",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.