Active NPI
Samuel Davis, MD
- Orthopaedic Surgery Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2014-01317
- Practice address
- 134 Professional Park Dr
Rock Hill, SC 29732-1178 - Phone
- (803) 329-3130
- NPI assigned
- May 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 36553 | SC | |
| Orthopaedic Surgery Physician | 207X00000X | 2014-01317 | NC | Primary |
Addresses
Primary practice location
134 Professional Park Dr
Rock Hill, SC 29732-1178
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1690 Highway 160 W
Fort Mill, SC 29708-8024
Phone (803) 548-2424
Other practice location 2
10660 Park Rd
Ste 3100
Charlotte, NC 28210-8413
Phone (704) 667-8750
Other practice location 3
1201 Colonial Commons Ct
Lancaster, SC 29720-2210
Phone (803) 329-3130
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
104 Ellett Rd
Chapin, SC 29036-8604
Phone (864) 833-3046
22971 Hwy 76 E
Clinton, SC 29325
Phone (864) 833-3046
2704 Kinard St
Newberry, SC 29108-2908
Phone (803) 321-6254
Hospital & facility affiliations
- Amedisys Home Health of Lexington
- Newberry County Memorial Hospital
- Prisma Health Richland Hospital
- Self Regional Healthcare
- Prisma Health Baptist Parkridge
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 147 |
| Laminectomy or laminotomy (partial removal of spine bones) | 74 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-01317 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Bone and Joint | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
104 Ellett Rd
Chapin, SC 29036
Phone (803) 567-8970
22971 Highway 76 E
Clinton, SC 29325
Phone (803) 833-3046
1690 Highway 160 W
Fort Mill, SC 29708
Phone (803) 547-7541
1 Wellness Blvd
Ste 202
Irmo, SC 29063
Phone (803) 470-7040
1201 Colonial Commons Ct
Lancaster, SC 29720
Phone (803) 286-8443
2704 Kinard St
Newberry, SC 29108
Phone (803) 321-6254
134 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3130
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Newberry, SC
- NPI 1720295793
-
- Orthopaedic Surgery Physician
- Lancaster, SC
- NPI 1962858662
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, SC
- NPI 1760430375
-
- General Acute Care Hospital
- Newberry, SC
- NPI 1316030083
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1811237985
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1972779692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 PROFESSIONAL PARK DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321178",
"telephone_number": "803-329-3130"
}
],
"practiceLocations": [
{
"address_1": "1690 Highway 160 W",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297088024",
"country_code": "US",
"telephone_number": "803-548-2424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10660 Park Rd",
"address_2": "Ste 3100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108413",
"country_code": "US",
"telephone_number": "704-667-8750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Colonial Commons Ct",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "SC",
"postal_code": "297202210",
"country_code": "US",
"telephone_number": "803-329-3130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "36553",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2014-01317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.