Nathan Andrew Davis, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

N9840 Issued in TX

Practice address

4141 S. Staples Suite 300
Corpus Christi, TX 78411-2155

Phone

(361) 882-5560

Fax

(361) 882-6011

NPI assigned

Oct 29, 2008

Sex

Male

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 TX

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 1

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Texas Dermatology PLLCGroup PAC ID 6305092859, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• South Texas Dermatology PLLC

  dba South Texas Dermatology

  • MOHS-Micrographic Surgery Physician
  • Corpus Christi, TX
  • NPI 1356536494
  Medicare reassignment Care Compare group NPD
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1841443231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S. STAPLES SUITE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112155",
            "telephone_number": "361-882-5560",
            "fax_number": "361-882-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S. STAPLES SUITE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112155",
            "telephone_number": "361-882-5560",
            "fax_number": "361-882-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N9840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Cale Davis, CRNA
• Kathleen Renee Davis, LVN
• Keely E Davis, RD,LD
• Mary Lou Davis, PTA
• Michael Davis
• Omar Davis, LMT
• Richard Carver Davis, M.D.
• Stephen Lee Davis
• Tara Davis, FNP-BC
• Victoria Davis, MA , MS, LPC, LBSW

• Dermatology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.