NPIMap

Individual provider Active NPI

Ian James Davis, DO

  • Hospitalist Physician
  • West Columbia, SC
National Provider Identifier
1902003395
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
82985 Issued in SC
Practice address
2720 Sunset Boulevard
West Columbia, SC 29169-0004
Phone
(803) 791-2480
Fax
(803) 936-4102
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 002413 GA
Hospitalist Physician 208M00000X 82985 SC Primary

Addresses

Primary practice location

2720 Sunset Boulevard
West Columbia, SC 29169-0004

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other identifiers 1

IdentifierTypeStateIssuer
02413OtherGARESIDENCY TRAINING PERMIT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address idavis95652@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100811000542 GA Practitioner - Internal Medicine 6901930015 Reassigns benefits to 5 organizations
I20191112002073 SC Practitioner - Hospitalist 6901930015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002413GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Center, Inc CurrentSince Jul 1, 2010 Accepting new patients
Lexington Health Inc Current Accepting new patients
Hearth Healthcare of Georgia, LLC CurrentSince Feb 2, 2025 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Au Medical Associates Inc CurrentSince Feb 12, 2017 Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Southland Emergency Medical Services Consolidated, LLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Au Medical Associates Inc CurrentSince Feb 12, 2017 Accepting new patients
Au Medical Center, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Palliative Care Services, PLLC Internal Medicine CurrentSince Dec 27, 2023 Accepting new patients
Alliance Hospice LLC CurrentSince Feb 20, 2024 Accepting new patients
Lexington Health Inc Past Accepting new patients
Augusta Inpatient Services, LLC Internal Medicine Past Accepting new patients
Wrightsboro Inpatient Services Internal Medicine Past Accepting new patients
Augusta Specialty Hospitalists LLC Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

621 NW Frontage Rd
Ste 1010
Augusta, GA 30907
Phone (706) 447-2461

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

93 Crye Leike Dr
Fort Oglethorpe, GA 30742
Phone (706) 866-8500

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

321 Norristown Rd
Ste 250
Ambler, PA 19002

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

500 Faulconer Dr
Ste 200
Charlottesville, VA 22903
Phone (434) 977-9711

Interoperability endpoints

  • Direct secure messaging: idavis95652@direct.lexmed.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1902003395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BOULEVARD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291690004",
            "telephone_number": "803-791-2480",
            "fax_number": "803-936-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "IAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "002413",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "82985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENCY TRAINING PERMIT",
            "identifier": "02413",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "idavis95652@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2720 Sunset Boulevard",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291690004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.