NPIMap

Individual provider Active NPI

William M. Davis, M.D.

  • Family Medicine Physician
  • Shamrock, TX
National Provider Identifier
1821444530
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S2759 Issued in TX
Practice address
1010 S Main St
Shamrock, TX 79079-2820
Phone
(806) 256-5148
NPI assigned
May 11, 2016
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S2759 TX Primary

Addresses

Primary practice location

1010 S Main St
Shamrock, TX 79079-2820

Mailing address

1010 S Main St
Shamrock, TX 79079-2820
Phone (806) 256-5148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190927001302 TX Practitioner - Family PracticePractitioner - Emergency Medicine 7416243365 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

802 N Minter Ave
Throckmorton, TX 76483-5357
Phone (940) 849-2151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2759TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Throckmorton County Memorial Hosp CurrentSince Jan 1, 2025 Accepting new patients
Concord Medical Group PLLC Current Accepting new patients
Fisher County Hospital District Current Accepting new patients
Concho County Hospital District Family Medicine Current Accepting new patients
Ballinger Memorial Hospital District Current Accepting new patients
Concho County Hospital District CurrentSince Nov 3, 2024 Accepting new patients
Fisher County Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Fisher County Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 15, 2024 Accepting new patients
Concho County Hospital District CurrentSince Nov 3, 2024 Accepting new patients
Throckmorton County Memorial Hosp Past Accepting new patients
Throckmorton County Memorial Hosp Past Accepting new patients
South Wheeler County Hospital District PastSince Jul 28, 2019 Accepting new patients

Locations

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

802 N Minter Ave
Throckmorton, TX 76483
Phone (940) 849-2151

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/conc-1a231bb4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/throckm-3dd57dc3

Organizations & group practices 13

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 13

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1821444530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "SHAMROCK",
            "state": "TX",
            "postal_code": "790792820",
            "telephone_number": "806-256-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "SHAMROCK",
            "state": "TX",
            "postal_code": "790792820",
            "telephone_number": "806-256-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shamrock, TX

Sources for this page

Verify at the official NPI Registry.