Lydia Davis, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3797 Issued in WV

Practice address

8591 Holly Meadows Rd
Parsons, WV 26287-8604

Phone

(304) 478-3339

Fax

(304) 478-3311

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, WV2 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 2

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St George Medical Clinic IncGroup PAC ID 7911996244, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
• Davis Medical Center Hospital, Elkins, WV, CCN 510030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• St. George Medical Clinic Inc.

  • Federally Qualified Health Center (FQHC)
  • Parsons, WV
  • NPI 1497853600
  Medicare reassignment Care Compare group NPD
• St George Medical Clinic Inc

  • Pharmacy
  • Davis, WV
  • NPI 1326796822
  NPD

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

• Davis Memorial Hospital

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Care Compare affiliation
• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation
• GRMC, Inc.

  • General Acute Care Hospital
  • Oakland, MD
  • NPI 1598417412
  Care Compare affiliation

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1770087959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 HOLLY MEADOWS RD",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262878604",
            "telephone_number": "304-478-3339",
            "fax_number": "304-478-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 HOLLY MEADOWS RD",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262878604",
            "telephone_number": "304-478-3339",
            "fax_number": "304-478-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215504343",
            "country_code": "US",
            "telephone_number": "301-533-3300 x3081",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22221 Westernport Rd SW",
            "address_purpose": "LOCATION",
            "city": "Westernport",
            "state": "MD",
            "postal_code": "215622206",
            "country_code": "US",
            "telephone_number": "240-774-0204",
            "fax_number": "301-533-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215361086",
            "country_code": "US",
            "telephone_number": "301-533-3299 x3081",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Burroughs St",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053332",
            "country_code": "US",
            "telephone_number": "724-208-2833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 University Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26501",
            "country_code": "US",
            "telephone_number": "304-598-4800",
            "fax_number": "304-285-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6368 Appalachian Hwy",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "WV",
            "postal_code": "262608271",
            "country_code": "US",
            "telephone_number": "681-435-0011",
            "fax_number": "681-435-0012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 Crestview Dr",
            "address_purpose": "LOCATION",
            "city": "Hambleton",
            "state": "WV",
            "postal_code": "262698195",
            "country_code": "US",
            "telephone_number": "304-478-6000",
            "fax_number": "304-478-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LYDIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E. Cummings, LPC
• Marilynn D Cuonzo
• Angela Davis
• Cassidy Susan Davis
• Dawn R Davis
• Sommer Paige Davis
• Kimberly Ann Day
• Laken S Delsignore
• Jodie Ann Dix
• Michael Dudonis

• Family Medicine Physician in Parsons, WV
• Providers in Parsons, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.

Verify at the official NPI Registry.