Chaz Davis, FNP
Individual provider Active NPI Family Nurse Practitioner · St George, UT
NPI 1932672011 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1932672011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11103138-4405 (UT)
- Practice address
- 2019 E Riverside Dr Ste A200
St George, UT 84790-8693 - Phone
- (435) 628-9298
- Fax
- (435) 628-9655
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revere Health PC
Practice addresses (Care Compare)
2019 E Riverside Dr
Suite A200
St George, UT 84790-8693
Phone (435) 628-9298
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190715003454 | UT | Practitioner - Nurse Practitioner | 8325373236 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11103138-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Castleview Physician Practice LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Castleview Physician Practice, LLC | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Castleview Physician Practices, LLC | Current |
Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
317 E 100 N
Price, UT 84501
Phone (435) 637-3584
945 W Hospital Dr
Ste 1
Price, UT 84501
Phone (435) 637-4327
317 E 100 N
Ste 4
Price, UT 84501
Phone (435) 637-6337
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
2019 E Riverside Dr
Ste A200
St George, UT 84790
Phone (435) 628-9298
Interoperability endpoints
- cdavis566192@direct.med.utah.edu
- chazdavis@cuccu.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11103138-4405 | UT | Yes |
Addresses
Primary practice location
2019 E Riverside Dr Ste A200
St George, UT 84790-8693
Mailing address
1055 N 500 W
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225
Other providers in St George, UT
- Amber D Davis
- Ashley Charles Davis
- Brett Earl Davis
- Caroll Davis
- Chandra I Davis
- Jake Davis
- Jessica Davis
- John A Davis
- Kelly Marie Davis
- Kennedy Davis
All providers in St George, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.