NPIMap

Individual provider Active NPI

Yvonne J Davis, MD

  • Internal Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1639107162
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29692 Issued in SC
Practice address
1156 Bowman Rd
Suite 250
Mount Pleasant, SC 29464-3803
Phone
(843) 856-3784
NPI assigned
Jun 30, 2006
Last updated
May 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29692 SC Primary

Addresses

Primary practice location

1156 Bowman Rd
Suite 250
Mount Pleasant, SC 29464-3803

Mailing address

213 Chipping Sparrow Dr
Summerville, SC 29485-4216
Phone (305) 815-7079

Other identifiers 1

IdentifierTypeStateIssuer
2519755-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000195 SC Practitioner - Internal Medicine 9739287764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of South Carolina PCGroup PAC ID 1951672617, 226 clinicians
CH Specialty Services SC LLCGroup PAC ID 6608182993, 222 clinicians

Practice addresses (Care Compare)

2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700

6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29692SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services SC LLC CurrentSince May 2, 2023 Accepting new patients
Curana Health of South Carolina PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
University of Miami Past Accepting new patients
University of Miami Internal Medicine PastSince Aug 22, 2014 Accepting new patients

Locations

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
White Oak Manor-CharlestonCharleston, SC, CCN 425128 Skilled nursing facility Operational/Managerial Control Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1639107162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CHIPPING SPARROW DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854216",
            "telephone_number": "305-815-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 BOWMAN RD",
            "address_2": "SUITE 250",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643803",
            "telephone_number": "843-856-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "YVONNE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "29692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2519755-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.