Individual provider Active NPI

Lonnie D Davis, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Arlington, VA
National Provider Identifier
1962447904
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0101239878 Issued in VA
Practice address
1635 N George Mason Dr Ste 180
Arlington, VA 22205-3633
Phone
(301) 530-1010
NPI assigned
Jun 16, 2006
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101239878 VA Primary

Addresses

Primary practice location

1635 N George Mason Dr Ste 180
Arlington, VA 22205-3633

Mailing address

8230 Boone Blvd Ste 200
Tysons Corner, VA 22182-2647
Phone (703) 848-0800

Other practice location 1

8230 Boone Blvd Ste 200
Tysons Corner, VA 22182-2647
Phone (703) 848-0800

Other practice location 2

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone (301) 530-1010

Other identifiers 1

IdentifierTypeStateIssuer
541439176OtherVATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000538 DC Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1355342320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Virginia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Chevy Chase Orthopaedic Associates, LLCGroup PAC ID 4789631011, 138 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1635 N George Mason Dr
Suite 180
Arlington, VA 22205-3633
Phone (301) 530-1010

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101239878VAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Ortho Oic Orthopaedic Immediate Care, LLC CurrentSince Jun 25, 2018 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC Sports Medicine CurrentSince May 1, 2021 Accepting new patients
Center for Orthopaedics and Sports Medicine, Inc. CurrentSince Aug 1, 2006 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Center for Orthopaedics and Sports Medicine Inc CurrentSince Aug 1, 2006 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince May 1, 2021 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9601 Blackwell Rd
Ste 100
Rockville, MD 20850
Phone (301) 340-9200

1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798

1701 Clarendon Blvd
Ste 120
Arlington, VA 22209
Phone (703) 566-6359

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

2841 Hartland Rd
Ste 401
Falls Church, VA 22043
Phone (703) 204-0533

8401 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 899-3580

8230 Boone Blvd
Ste 200
Vienna, VA 22182
Phone (703) 848-0800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18844/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lonnie.davis.1@8042.direct.athenahealth.com
  • Direct secure messaging: lonniedavis@bccoallp.allscriptsdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1962447904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD STE 200",
            "city": "TYSONS CORNER",
            "state": "VA",
            "postal_code": "221822647",
            "telephone_number": "703-848-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR STE 180",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053633",
            "telephone_number": "301-530-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8230 Boone Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tysons Corner",
            "state": "VA",
            "postal_code": "221822647",
            "country_code": "US",
            "telephone_number": "703-848-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10215 Fernwood Rd Ste 506",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171184",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LONNIE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101239878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "541439176",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.