Lesly S Davidson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

17272 Issued in SC

Practice address

901 Von Kolnitz Rd
Suite 100
Mt Pleasant, SC 29464-3772

Phone

(843) 216-3376

Fax

(843) 216-3242

NPI assigned

Jun 9, 2006

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lesly S Davidson, MD, PAGroup PAC ID 8729524723, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen Matteson, PA-C

  • Medical Physician Assistant
  • Westport, CT
  • NPI 1427320282

  SC

  Medicare reassignment

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.

• Lesly S. Davidson, MD, PA

  dba Davidson Dermatology

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1003543190
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1861433997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VON KOLNITZ RD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643772",
            "telephone_number": "843-216-3376",
            "fax_number": "843-216-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VON KOLNITZ RD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643772",
            "telephone_number": "843-216-3376",
            "fax_number": "843-216-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LESLY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "17272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172725",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David C Apple, MD, LLC
• David K. Smith M D LLC (Mt Pleasant Primary Care for Women)
• David Smith Chiropractic LLC
• Faith Ellen David, PHARMD
• Donna Sanderson Davidson, FNP
• Hollen Alexa Davinsizer, PA-C
• Kimberly Lynn Davis-Seagle, M.D.
• Allison Nicole Davis, MS OTR/L
• Hannah Davis
• Jana Lynn Davis, MS, RD, CDE

• Specialist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.