David R Davis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2255 Issued in SC

Practice address

1021 Medical Cir
#100
Myrtle Beach, SC 29572-4608

Phone

(843) 692-1062

NPI assigned

May 22, 2006

Last updated

Aug 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meggett Tiva LLC

  • Certified Registered Nurse Anesthetist
  • Murrells Inlet, SC
  • NPI 1396290995
  Medicare reassignment Authorized official
• Atlantic Coast Anesthesia Services P.C.

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1932641313

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Low Country Anesthesia, PA

  • Anesthesiology Physician
  • Beaufort, SC
  • NPI 1417928268
  Medicare reassignment NPD
• Coastal Carolina Centers of Urology and Surgery LLC

  dba Rivertown Surgery Center

  • Anesthesiology Physician
  • Conway, SC
  • NPI 1205095080
  Medicare reassignment
• Coastal Healthcare Resources Inc

  • Anesthesiology Physician
  • Florence, SC
  • NPI 1467635128
  Medicare reassignment
• North Area Anesthesia Services, PA

  • Certified Registered Nurse Anesthetist
  • North Charleston, SC
  • NPI 1891934253
  Medicare reassignment
• Coastal Carolina Centers of Urology and Surgery LLC

  dba Rivertown Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Conway, SC
  • NPI 1932274743
  NPD
• Ambulatory Care Anesthesia, PC

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
  • NPI 1033131990

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Amsol Anesthetists of Murrells Inlet, SC

  • Anesthesiology Physician
  • Murrells Inlet, SC
  • NPI 1376588384
  NPD (past)
• Beach Anesthesia, LLC

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1215061429
  NPD (past)
• Grand Strand Regional Medical Center, LLC

  dba Grand Strand Medical Center

  • Rehabilitation Hospital Unit
  • Myrtle Beach, SC
  • NPI 1184135758
  NPD (past)
• Anesthesia Network Services, LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1508199142
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1609820588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4860",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762698",
            "telephone_number": "843-651-2624",
            "fax_number": "843-491-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MEDICAL CIR",
            "address_2": "#100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724608",
            "telephone_number": "843-692-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0581",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nachiket Nitin Datar
• Joseph J Davey, M.D.
• Tara Davis-Boyd, NP
• Amanda Davis
• Bill Hampton Davis, M.D.
• John M Davis, MD
• Lindley Brooke Davis, M.S., CF-SLP
• Mercedes Zimmerman Davis, PA-C
• Morgan Davis, BCBA
• Rochelle L Davis, LCSW-CP

• Certified Registered Nurse Anesthetist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.