NPIMap

Individual provider Active NPI

Renee S Davis, M.D.

  • Family Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1861596090
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21128 Issued in AL
Practice address
209 W Spring St
Suite 102
Sylacauga, AL 35150-2973
Phone
(256) 401-4686
Fax
(256) 401-4694
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21128 AL Primary

Addresses

Primary practice location

209 W Spring St
Suite 102
Sylacauga, AL 35150-2973

Mailing address

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 401-4606

Other identifiers 1

IdentifierTypeStateIssuer
009918080MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000858 AL Practitioner - Family Practice 5597786079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Sylacauga Health Care Authority 44 clinicians

Practice addresses (Care Compare)

110 S Anniston Ave
Sylacauga, AL 35150-2961
Phone (256) 207-0200

9518 US Hwy 231
Rockford, AL 35136-5214
Phone (256) 377-4366

Hospital & facility affiliations

  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Adoration Home Health Home health agency, Sylacauga, AL, CCN 017085
  • Coosa Valley Hospice Hospice, Sylacauga, AL, CCN 011661
  • Southerncare New Beacon N Birmingham Hospice, Birmingham, AL, CCN 011501
  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164
  • Citizens Baptist Medical Center Hospital, Talladega, AL, CCN 010101

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
58.1
Promoting interoperability
96
Improvement activities
40
Cost
72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21128ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Sylacauga Health Care Authority Family Medicine CurrentSince Feb 22, 2010 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Feb 22, 2010 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

209 W Spring St
Ste 102
Sylacauga, AL 35150
Phone (256) 401-4686

110 S Anniston Ave
Sylacauga, AL 35150
Phone (256) 207-0200

209 W Spring St
Ste 100
Sylacauga, AL 35150
Phone (256) 249-5888

Interoperability endpoints

  • Direct secure messaging: renee.davis@cvmc.eclinicaldirectplus.com

Organizations & group practices 8

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 6

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1861596090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-401-4606",
            "fax_number": "256-401-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 102",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-401-4686",
            "fax_number": "256-401-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RENEE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009918080",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.