NPIMap

Individual provider Active NPI

Keith E Davis, MD

  • Cardiovascular Disease Physician
  • Gunnison, CO
National Provider Identifier
1952344947
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0076951 Issued in CO
Practice address
711 N Taylor St
Gunnison, CO 81230-2243
Phone
(970) 252-1020
NPI assigned
Jun 14, 2006
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0076951 CO Primary

Addresses

Primary practice location

711 N Taylor St
Gunnison, CO 81230-2243

Mailing address

340 Tomichi TRL
Gunnison, CO 81230-4144
Phone (970) 252-1020

Other practice location 1

205 Page Rd
Pinehurst, NC 28374-8798
Phone (910) 295-9211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 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
I20061103000058 NC Practitioner - Interventional Cardiology 9032121165 Reassigns benefits to 4 organizations
I20260428000610 CO Practitioner - Interventional Cardiology 9032121165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-18, LLCGroup PAC ID 2668741208, 31 clinicians
Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

Practice addresses (Care Compare)

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-9211

300 S Nevada Ave
MRH Cardiology Center
Montrose, CO 81401-4273
Phone (970) 240-7132

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

8 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 215-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9700524NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. Cardiovascular Disease CurrentSince Jul 14, 1997 Accepting new patients
MCPC-18, LLC Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jul 14, 1997 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Sep 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc Interventional Cardiology CurrentSince Sep 1, 2025 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
MCPC-5, LLC Cardiovascular Disease Current Accepting new patients
Sanford Cardiology, PLLC PastSince Aug 1, 2004 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555

110 Fields Dr
Ste 1
Sanford, NC 27330
Phone (919) 777-9005

Interoperability endpoints

  • Direct secure messaging: kdavis3032704@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: keithdavis@phmc.allscriptsdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1952344947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TOMICHI TRL",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812304144",
            "telephone_number": "970-252-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302243",
            "telephone_number": "970-252-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Page Rd",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748798",
            "country_code": "US",
            "telephone_number": "910-295-9211",
            "fax_number": "910-235-3428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KEITH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "0076951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.