Active NPI
Kevin S Davis, M.D.
- Obstetrics & Gynecology Physician
- Fort Carson, CO
National Provider Identifier
1629069141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 45765
- Practice address
- 1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604 - Phone
- (719) 726-7486
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 45765 | GA | Primary |
| Specialist | 174400000X | 045765 | GA |
Addresses
Primary practice location
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Mailing address
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Phone (719) 726-7486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000936108C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045765 | GA | MD | Specialist |
| 45765 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatuge Regional Hospital Inc | Current | Accepting new patients | |
| Chatuge Regional Hospital Inc | Current | Accepting new patients | |
| Union General Hospital Inc | Past | Accepting new patients | |
| Chatuge Regional Hospital Inc | Past | Accepting new patients |
Locations
35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812
110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8bbd570d-db8f-4e0a-abe5-48b447c735fb/
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Hiawassee, GA
- NPI 1326028978
-
- Medicare Defined Swing Bed Hospital Unit
- Hiawassee, GA
- NPI 1982873212
-
- Internal Medicine Physician
- Hiawassee, GA
- NPI 1265811962
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1235408253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1629069141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR UNIT MEDDAC",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "719-726-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR UNIT MEDDAC",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "719-726-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KEVIN",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "45765",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "045765",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000936108C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.