NPIMap

Individual provider Active NPI

William Davis Jr., P.A.-C

  • Physician Assistant
  • Decatur, AL
National Provider Identifier
1689068397
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TA.1972 Issued in AL
Practice address
1201 7TH St SE
Decatur, AL 35601-3337
Phone
(256) 341-3328
NPI assigned
Mar 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TA.1972 AL Primary

Addresses

Primary practice location

1201 7TH St SE
Decatur, AL 35601-3337

Mailing address

1201 7TH St SE
Decatur, AL 35601-3337
Phone (256) 341-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY, MD, NC, MS, FL6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20150720001708 AL Practitioner - Physician Assistant 1456664408 Reassigns benefits to 6 organizations
I20160115001425 KY Practitioner - Physician Assistant 1456664408 Reassigns benefits to 4 organizations
I20210128003110 MD Practitioner - Physician Assistant 1456664408 Reassigns benefits to 1 organization
I20211120000295 NC Practitioner - Physician Assistant 1456664408 Reassigns benefits to 5 organizations
I20240104004658 MS Practitioner - Physician Assistant 1456664408 Reassigns benefits to 1 organization
I20240918000031 FL Practitioner - Physician Assistant 1456664408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1140 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-1201

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7000

360 Amsden Ave
Versailles, KY 40383-1286
Phone (859) 873-3111

45 Plateau St
Bryson City, NC 28713-4200
Phone (828) 488-2155

989 Medical Park Dr
Maysville, KY 41056-8750
Phone (606) 759-3114

Hospital & facility affiliations

  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101
  • Fleming County Hospital Hospital, Flemingsburg, KY, CCN 180780
  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126
  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TA.1972ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2021 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: jdavis582572@direct.bmhcc.org

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 and National Provider Directory roles.

View all 16

Hospital & facility affiliations 7

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": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1689068397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013337",
            "telephone_number": "256-341-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013337",
            "telephone_number": "256-341-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-20",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "TA.1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.