Active NPI
Wayne Davis, LIC. EXTERMINATOR
- Prevention Professional
- Sumter, SC
National Provider Identifier
1942006952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- CA033212
- Practice address
- 15 Oak Haven CT
Sumter, SC 29154-4698 - Phone
- (803) 968-0670
- NPI assigned
- Feb 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | CA033212 | SC | Primary |
Addresses
Primary practice location
15 Oak Haven CT
Sumter, SC 29154-4698
Mailing address
15 Oak Haven CT
Sumter, SC 29154-4698
Phone (803) 968-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA033212 | SC | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1942006952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 OAK HAVEN CT",
"city": "SUMTER",
"state": "SC",
"postal_code": "291544698",
"telephone_number": "803-968-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 OAK HAVEN CT",
"city": "SUMTER",
"state": "SC",
"postal_code": "291544698",
"telephone_number": "803-968-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WAYNE",
"credential": "LIC. EXTERMINATOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "SC",
"license": "CA033212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.