Individual provider Active NPI

Yelena Pavlovna Davis, MD

  • Obstetrics & Gynecology Physician
  • Greenville, MI
National Provider Identifier
1851812929
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301112810 Issued in MI
Practice address
1202 W Oak St
Greenville, MI 48838-2155
Phone
(616) 754-2944
Fax
(616) 754-2999
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301112810 MI Primary

Addresses

Primary practice location

1202 W Oak St
Greenville, MI 48838-2155

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ydavis113180@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20210607001748 MI Practitioner - Obstetrics/Gynecology 7618247149 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health HospitalsGroup PAC ID 8921904764, 161 clinicians
Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

100 Michigan St Northeast
Corewell Health Grand Rapids Hospit
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

1202 W Oak St
Greenville, MI 48838-2155

1227 W State St
Family Medicine
Belding, MI 48809-9246
Phone (616) 794-0940

615 S Bower St
Greenville, MI 48838-2614

Hospital & facility affiliations

  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals CurrentSince Jan 10, 2025 Accepting new patients
Spectrum Health Hospitals Obstetrics & Gynecology CurrentSince Jan 10, 2025 Accepting new patients
Pennock Hospital CurrentSince Nov 12, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 15, 2024 Accepting new patients
Pennock Hospital CurrentSince Nov 12, 2021 Accepting new patients
Spectrum Health Primary Care Partners Obstetrics & Gynecology CurrentSince Feb 15, 2024 Accepting new patients
Hillsdale Community Health Center CurrentSince Sep 1, 2022 Accepting new patients
Spectrum Health United CurrentSince Jul 31, 2021 Accepting new patients
Spectrum Health United CurrentSince Jul 31, 2021 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

2750 E Beltline Ave NE
Fl 1
Grand Rapids, MI 49525
Phone (616) 391-6271

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

221 Michigan St NE
Ste 600
Grand Rapids, MI 49503
Phone (616) 774-7035

330 Barclay Ave NE
Ste 304
Grand Rapids, MI 49503
Phone (616) 391-2160

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

1202 W Oak St
#1
Greenville, MI 48838

1005 W Green St
Ste 301
Hastings, MI 49058
Phone (269) 945-2419

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

451 Hidden Meadows Dr
Ste 220
Hillsdale, MI 49242
Phone (517) 437-5395

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

8650 Howard City Edmore Rd
Lakeview, MI 48850
Phone (989) 352-1800

Interoperability endpoints

  • Direct secure messaging: ydavis113180@epic00.corewelldirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1851812929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W OAK ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382155",
            "telephone_number": "616-754-2944",
            "fax_number": "616-754-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "YELENA",
        "middle_name": "PAVLOVNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301112810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ydavis113180@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "1202 W Oak St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1202 W Oak St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.