Glenton W Davis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14309 Issued in AL

Practice address

223 Dallas Ave
Selma, AL 36701-5744

Phone

(334) 874-0017

Fax

(334) 872-6563

NPI assigned

Feb 9, 2006

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

Tulane University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southerncare New Beacon - Jasper Hospice, Northport, AL, CCN 011506
• Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118
• Lighthouse Rehabilitation & Healthcare Center Nursing home, Selma, AL, CCN 015413

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Davis Family Medicine

  • Family Medicine Physician
  • Selma, AL
  • NPI 1427238997
  Medicare reassignment Authorized official
• Ball Healthcare Dallas LLC

  • Skilled Nursing Facility
  • Selma, AL
  • NPI 1932112430
  NPD (past)
• Neurology Consultants of Montgomery, PC

  • Neurology Physician
  • Montgomery, AL
  • NPI 1487718607
  NPD (past)
• Vaughan Regional Medical Center LLC

  dba Vaughan Regional Medical Center-Parkway Campus

  • Anesthesiology Physician
  • Selma, AL
  • NPI 1114088846

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ball Healthcare Dallas LLC

  • Skilled Nursing Facility
  • Selma, AL
  • NPI 1932112430

  Nursing home

  Care Compare affiliation
• New Beacon Healthcare Group, LLC

  dba New Beacon of Jasper

  • Community Based Hospice Care Agency
  • Northport, AL
  • NPI 1376572255
  Care Compare affiliation
• Vaughan Regional Medical Center LLC

  dba Vaughan Regional Medical Center

  • Rural Acute Care Hospital
  • Selma, AL
  • NPI 1871655993
  Care Compare affiliation

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1962475046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015744",
            "telephone_number": "334-874-0017",
            "fax_number": "334-872-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015744",
            "telephone_number": "334-874-0017",
            "fax_number": "334-872-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GLENTON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Emergency Group LLC
• Das & Das M.D., P.C.
• Subramonium K Das, M.D.
• David W. Hodo, M.D., P.a.
• Davis Family Medicine
• Olivia Grayson Davis, FNP
• Deidre J. Russell, M.D.,LLC
• Mezzy Anne Bernardino Dela Pierre, RN, BSN
• Glenn Ray Delp, M.D.
• Holland Dempsey

• Family Medicine Physician in Selma, AL
• Providers in Selma, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.