NPIMap

Individual provider Active NPI

Bethany Davis, M.D.

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1982048856
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51839 Issued in AZ
Practice address
2705 N 4TH St
Flagstaff, AZ 86004-1846
Phone
(928) 233-8801
NPI assigned
Apr 23, 2013
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51839 AZ Primary

Addresses

Primary practice location

2705 N 4TH St
Flagstaff, AZ 86004-1846

Mailing address

PO Box 35662
Belfast, ME 04915-0634

Other practice location 1

2920 N 4th St
Flagstaff, AZ 86004-1816
Phone (928) 522-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20160728000941 AZ Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2668615998 Reassigns benefits to 3 organizations
I20221110003106 TX Practitioner - Family Practice 2668615998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Davis Whole Family Health PLLCGroup PAC ID 5395192637, 3 clinicians

Practice addresses (Care Compare)

150 N Verde St
Suite 101
Flagstaff, AZ 86001-5257
Phone (619) 218-9490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. CurrentSince Aug 1, 2016 Accepting new patients
North Country Healthcare, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 22, 2024 Accepting new patients
Davis Whole Family Health PLLC Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Winslow Memorial Hospital Inc CurrentSince Jun 1, 2025 Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
Davis Whole Family Health PLLC Family Medicine CurrentSince Mar 12, 2024 Accepting new patients

Locations

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

150 N Verde St
Ste 101
Flagstaff, AZ 86001
Phone (619) 218-9490

2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121

2705 N 4th St
Flagstaff, AZ 86004
Phone (619) 218-9490

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

1500 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-3396

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

Interoperability endpoints

  • Direct secure messaging: bethany.davis.1@29090.direct.athenahealth.com

Organizations & group practices 8

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 6

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1982048856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35662",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150634",
            "fax_number": "928-447-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041846",
            "telephone_number": "928-233-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860041816",
            "country_code": "US",
            "telephone_number": "928-522-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BETHANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "51839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.