Active NPI
Russell Kelso Davis, D.C.
- Sports Physician Chiropractor
- Havelock, NC
National Provider Identifier
1982607966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2801
- Practice address
- 318 E. Main St.
Havelock, NC 28532-2214 - Phone
- (252) 444-3377
- Fax
- (252) 444-3529
- NPI assigned
- May 24, 2005
- Last updated
- May 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2801 | NC | Primary |
Addresses
Primary practice location
318 E. Main St.
Havelock, NC 28532-2214
Mailing address
318 E. Main St.
Naval Hospital
Havelock, NC 28532-2214
Phone (252) 444-3377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
318 E Main St
Havelock, NC 28532-2214
Phone (252) 444-3377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schilsky Chiropractic Center PA | Sports Physician | Past | Accepting new patients |
| Sprague, PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Havelock, NC
- NPI 1831149285
-
dba Schilsky Chiropractic Center
- Chiropractor
- Jacksonville, NC
- NPI 1548201494
Sports Physician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1982607966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 E. MAIN ST.",
"address_2": "NAVAL HOSPITAL",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285322214",
"telephone_number": "252-444-3377",
"fax_number": "252-444-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E. MAIN ST.",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285322214",
"telephone_number": "252-444-3377",
"fax_number": "252-444-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RUSSELL",
"middle_name": "KELSO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NC",
"license": "2801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.