Individual provider Active NPI

Gregory T Davis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbia, SC
National Provider Identifier
1962599860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
542 Issued in SC
Practice address
1516 Calhoun St
Columbia, SC 29201-2607
Phone
(803) 254-6114
Fax
(803) 254-7674
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 542 SC Primary

Addresses

Primary practice location

1516 Calhoun St
Columbia, SC 29201-2607

Mailing address

1516 Calhoun St
Columbia, SC 29201-2607
Phone (803) 254-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000327 SC Practitioner - Podiatry 2365573912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Foot ClinicGroup PAC ID 9537138458, 3 clinicians

Practice addresses (Care Compare)

1516 Calhoun St
Columbia, SC 29201-2607
Phone (803) 254-6114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue1135
Removal or shaving of skin growth296
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Foot Clinic Foot & Ankle Surgery CurrentSince Apr 1, 2016 Accepting new patients
Family Medicine Centers of South Carolina, P.a. Past Accepting new patients
Family Medicine Centers of South Carolina Past Accepting new patients

Locations

1516 Calhoun St
Columbia, SC 29201
Phone (803) 254-6114

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962599860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012607",
            "telephone_number": "803-254-6114",
            "fax_number": "803-254-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012607",
            "telephone_number": "803-254-6114",
            "fax_number": "803-254-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GREGORY",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.