Active NPI
Cody Hamilton Davis, D.O.
- Hospitalist Physician
- North Wilkesboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2018-02762
- Practice address
- 1370 W D St
North Wilkesboro, NC 28659-3506 - Phone
- (336) 716-2255
- NPI assigned
- Apr 6, 2015
- Last updated
- Mar 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | DO2854 | ME | |
| Hospitalist Physician | 208M00000X | 135-321 | WI | |
| Hospitalist Physician | 208M00000X | 4153 | TN | |
| Hospitalist Physician | 208M00000X | CL0099 | NV | |
| Hospitalist Physician | 208M00000X | 26093 | MS | |
| Hospitalist Physician | 208M00000X | 68188 | MN | |
| Hospitalist Physician | 208M00000X | 81937 | GA | |
| Hospitalist Physician | 208M00000X | OS14365 | FL | |
| Hospitalist Physician | 208M00000X | DR.0062191 | CO | |
| Hospitalist Physician | 208M00000X | DO.2329 | AL | |
| Hospitalist Physician | 208M00000X | 3488 | WV | |
| Hospitalist Physician | 208M00000X | 68670 | MT | |
| Hospitalist Physician | 208M00000X | 2018-02762 | NC | Primary |
Addresses
Primary practice location
1370 W D St
North Wilkesboro, NC 28659-3506
Mailing address
7322 Manatee Ave W
#220
Bradenton, FL 34209
Phone (716) 795-2422
Other practice location 1
206 2nd St E
Bradenton, FL 34208-1042
Phone (941) 746-5111
Other practice location 2
800 Garfield Ave
Parkersburg, WV 26101-5340
Phone (304) 422-0405
Other practice location 3
24 Hospital Ln
Calais, ME 04619-1329
Phone (207) 454-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, MS, MT, WV, GA, NC, TN, NY, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Hospital LN
Calais, ME 04619-1329
Phone (207) 454-7521
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3488 | WV | MD | Dentist |
| DO.2329 | AL | MD | Hospitalist Physician |
| DR.0062191 | CO | MD | Hospitalist Physician |
| DO2854 | ME | MD | Hospitalist Physician |
| 26093 | MS | MD | Hospitalist Physician |
| 68670 | MT | MD | Hospitalist Physician |
| 2018-02762 | NC | MD | Hospitalist Physician |
| 135-321 | WI | MD | Hospitalist Physician |
| 2329 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center Inc. | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Glutality Provider Group of New Jersey, PA. | Current | Accepting new patients | |
| Point Pleasant Physician Billing Services | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Hospitalist | Current | Accepting new patients |
| Comprehensive Hospitalists of Ms, LLC | Hospitalist | Current | Accepting new patients |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Benefis Hospitals, Inc. | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Columbus Regional Health Network | Past | Accepting new patients |
Locations
5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560
401 Fairway Dr
Ste 200
Deerfield Beach, FL 33441
Phone (561) 208-1970
3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
6 City Ctr
Fl 3
Portland, ME 04101
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125
11835 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (561) 208-1970
600 3rd Ave
Fl 2
New York, NY 10016
Phone (212) 547-8861
2615 Medical Center Pkwy
Ste 1560
Murfreesboro, TN 37129
Phone (615) 525-6181
2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020
2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 16
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.
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Hospitalist Physician
- Amory, MS
- NPI 1467856385
-
- Hospitalist Physician
- Warner Robins, GA
- NPI 1962040147
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1083256168
NC, TN, WI, WV
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
-
dba Baileyville Medical Center
- Rural Health Clinic/Center
- Baileyville, ME
- NPI 1467205112
-
- Hospitalist Physician
- Clarksdale, MS
- NPI 1710371679
-
- Internal Medicine Physician
- Neptune, NJ
- NPI 1396335675
-
- Hospitalist Physician
- Perry, GA
- NPI 1831717511
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
Nursing home
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1629463674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7322 MANATEE AVE W",
"address_2": "#220",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34209",
"telephone_number": "716-795-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 W D ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593506",
"telephone_number": "336-716-2255"
}
],
"practiceLocations": [
{
"address_1": "206 2nd St E",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342081042",
"country_code": "US",
"telephone_number": "941-746-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Garfield Ave",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261015340",
"country_code": "US",
"telephone_number": "304-422-0405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Hospital Ln",
"address_purpose": "LOCATION",
"city": "Calais",
"state": "ME",
"postal_code": "046191329",
"country_code": "US",
"telephone_number": "207-454-7521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CODY",
"middle_name": "HAMILTON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ME",
"license": "DO2854",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "135-321",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "4153",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "CL0099",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MS",
"license": "26093",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MN",
"license": "68188",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "81937",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS14365",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "DR.0062191",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AL",
"license": "DO.2329",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "3488",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MT",
"license": "68670",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2018-02762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.