Gary M Davidson, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0101250753 Issued in VA

Practice address

8109 Hinson Farm Rd
Suite 504
Alexandria, VA 22306-3415

Phone

(703) 780-2800

Fax

(703) 780-0461

NPI assigned

Jun 22, 2005

Last updated

Oct 20, 2011By 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 DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1609872993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 HINSON FARM RD",
            "address_2": "SUITE 504",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063415",
            "telephone_number": "703-780-2800",
            "fax_number": "703-780-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 HINSON FARM RD",
            "address_2": "SUITE 504",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063415",
            "telephone_number": "703-780-2800",
            "fax_number": "703-780-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101250753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163593",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David B. Summer M.D., P.C.
• David M Morgan, DDS, MD, PLC
• David M. Goldberg, O.D., P.C.
• David W Alway MD
• Mary-Katherine Davidson-Taylor, M.S. OTR/L
• Melinda Woodall Davidson
• Shelly Davies, PTA
• Marcelo A. Davila
• Mariela D. Davila, LCSW
• Jashawn Anthonette Davis-Johnson

• Adult Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.