Active NPI
Mathew Chad Davis, APRN
- Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN245816
- Practice address
- SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203 - Phone
- (800) 491-0909
- NPI assigned
- Jul 9, 2018
- Last updated
- Jun 3, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN245816 | GA | Primary |
Addresses
Primary practice location
SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Mailing address
SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone (800) 491-0909
Other practice location 1
1719 Russell Pkwy, Warner Robins
Warner Robins, GA 31088-3108
Phone (478) 328-7674
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnect Health, Inc. | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Careconnect Health, Inc. | Current | Accepting new patients | |
| Careconnect Health, Inc. | Past | Accepting new patients |
Locations
1109 Medical Center Dr
Ste 2A
Augusta, GA 30909
Phone (706) 901-4242
209 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 822-0054
510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- mathew.davis.1@7602.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
GA
-
- Federally Qualified Health Center (FQHC)
- Richland, GA
- NPI 1063436624
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
dba CareConnect Convenient Care
- Federally Qualified Health Center (FQHC)
- Sylvester, GA
- NPI 1811874696
-
dba CareConnect Convenient Care
- Federally Qualified Health Center (FQHC)
- Fort Valley, GA
- NPI 1801302997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685750400000",
"number": "1649766155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SC HOUSE CALLS INC",
"address_2": "111 DOCTORS CIRCLE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SC HOUSE CALLS INC",
"address_2": "111 DOCTORS CIRCLE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [
{
"address_1": "1719 Russell Pkwy, Warner Robins",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "310883108",
"country_code": "US",
"telephone_number": "478-328-7674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MATHEW",
"middle_name": "CHAD",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-09",
"last_updated": "2023-06-03",
"certification_date": "2023-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN245816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; 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.