Robert Davis, D.O.
Individual provider Active NPI Internal Medicine Physician · Norton, VA
NPI 1851767552 · NPPES record last updated Aug 11, 2017
Key facts
- NPI
- 1851767552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0102205021 (VA)
- Practice address
- 100 15TH St NW
Norton, VA 24273-1616 - Phone
- (276) 679-3488
- NPI assigned
- Aug 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Tennessee Healthcare Hospitalists Inc
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Dyersburg Regional Medical Center
- West Tennessee Healthcare Henry County Hospital
- Hardin Medical Center
- West Tennessee Healthcare Milan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181001000224 | TN | Practitioner - Hospitalist |
6305104852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116028755 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Healthcare Hospitalists Inc | Current |
Accepting new patients | |
| West Tennessee Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0116028755 | VA | |
| Internal Medicine Physician | 207R00000X | 0102205021 | VA | Yes |
Addresses
Primary practice location
100 15TH St NW
Norton, VA 24273-1616
Mailing address
100 15TH St NW
Norton, VA 24273-1616
Phone (276) 679-3488
Other providers in Norton, VA
- Jill Kristen Couch
- Jack K Cox II
- Amanda Rae Dale
- Danny J. Minor, D.C.,P.C.
- Clayton Cavanaugh Davis
- Nurlan Davletalinov
- Roy R Deel
- Samuel Patton Deel
- Alli D. Delp
- Robbie Dennis
All providers in Norton, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.