Individual provider Active NPI

Robert Davies, MD

  • Urology Physician
  • Jacksonville Beach, FL
National Provider Identifier
1861528101
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 64246 Issued in FL
Practice address
1370 13TH Ave S
Ste 121
Jacksonville Beach, FL 32250-3230
Phone
(904) 249-0041
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME 64246 FL Primary

Addresses

Primary practice location

1370 13TH Ave S
Ste 121
Jacksonville Beach, FL 32250-3230

Mailing address

PO Box 919027
Orlando, FL 32891-9027
Phone (904) 249-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040209000787 FL Practitioner - Urology 0446144729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1370 13TH Ave S
Suite 121
Jacksonville Beach, FL 32250-3206
Phone (904) 249-0041

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 64246FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Davies MD PA Urology CurrentSince Jun 7, 2005 Accepting new patients
Gessler Clinic Professional Association Past Accepting new patients

Locations

1370 13th Ave S
#220
Jacksonville, FL 32250
Phone (904) 249-0041

1370 13th Ave S
Ste 121
Jax Bch, FL 32250
Phone (904) 249-0041

Organizations & group practices 2

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 3

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1861528101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919027",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919027",
            "telephone_number": "904-249-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S",
            "address_2": "STE 121",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503230",
            "telephone_number": "904-249-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 64246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.