Individual provider Active NPI

Cody Hamilton Davis, D.O.

  • Hospitalist Physician
  • North Wilkesboro, NC
National Provider Identifier
1629463674
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2018-02762 Issued in NC
Practice address
1370 W D St
North Wilkesboro, NC 28659-3506
Phone
(336) 716-2255
NPI assigned
Apr 6, 2015
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20180924003558 ME Practitioner - Internal MedicinePractitioner - Hospitalist 8123397551 Reassigns benefits to 3 organizations
I20181023002834 MS Practitioner - HospitalistPractitioner - Internal Medicine 8123397551 Reassigns benefits to 2 organizations
I20190906002859 MT Practitioner - Hospitalist 8123397551 Reassigns benefits to 1 organization
I20191113003542 WV Practitioner - Internal MedicinePractitioner - Hospitalist 8123397551 Reassigns benefits to 1 organization
I20200508000296 GA Practitioner - Hospitalist 8123397551 Reassigns benefits to 1 organization
I20200827000994 NC Practitioner - HospitalistPractitioner - Internal Medicine 8123397551 Reassigns benefits to 1 organization
I20210723000508 TN Practitioner - Internal Medicine 8123397551 Reassigns benefits to 1 organization
I20210726002585 NY Practitioner - HospitalistPractitioner - Internal Medicine 8123397551
I20210727000509 WI Practitioner - Internal Medicine 8123397551 Reassigns benefits to 1 organization

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
Calais Community HospitalGroup PAC ID 0345649158, 7 clinicians

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

LicenseStateTypeSpecialty
3488WVMDDentist
DO.2329ALMDHospitalist Physician
DR.0062191COMDHospitalist Physician
DO2854MEMDHospitalist Physician
26093MSMDHospitalist Physician
68670MTMDHospitalist Physician
2018-02762NCMDHospitalist Physician
135-321WIMDHospitalist Physician
2329ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc. CurrentSince Oct 8, 2018 Accepting new patients
Calais Community Hospital CurrentSince Nov 2, 2020 Accepting new patients
Glutality Provider Group of New Jersey, PA. CurrentSince May 29, 2023 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince Oct 29, 2020 Accepting new patients
Calais Community Hospital CurrentSince Sep 24, 2021 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Hospitalist CurrentSince Jan 10, 2022 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Hospitalist CurrentSince Jan 10, 2022 Accepting new patients
Benefis Hospitals Inc CurrentSince Aug 8, 2019 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince May 1, 2020 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Aug 8, 2019 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 8, 2018 Accepting new patients
Calais Community Hospital CurrentSince Nov 2, 2020 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

  • FHIR API: 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.

View all 16

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.