Clarence Sylvester Davis III, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

11144 Issued in SC

Practice address

2720 Sunset Blvd
West Columbia, SC 29169-4810

Phone

(803) 791-2460

Fax

(803) 791-2519

NPI assigned

Jun 30, 2006

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, CT, NY, TX, CA, MI, IL7 enrollments

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 7

Specialty

Diagnostic Radiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians

Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians

Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians

Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians

Lexington Radiology AssociatesGroup PAC ID 7315342185, 32 clinicians

Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians

On-Line Radiology Medical Group IncGroup PAC ID 0648311548, 66 clinicians

Radiology Associates of Albuquerque PAGroup PAC ID 2860304482, 103 clinicians

Pco PCGroup PAC ID 5395179329, 82 clinicians

Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Thorek Radiology Group NFPGroup PAC ID 1658786421, 41 clinicians

Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
• Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
• University Medical Center Hospital, Lubbock, TX, CCN 450686
• Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 54)

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: cdavis7812@direct.lexmed.com

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.

• Lexington Radiology Associates

  • Diagnostic Radiology Physician
  • West Columbia, SC
  • NPI 1063095628
  Medicare reassignment Care Compare group NPD
• Central Texas Radiological Associates PA

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1861452864

  SC

  Medicare reassignment Care Compare group NPD
• Central Valley Community Medical Imaging

  dba Cmi

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1376637264

  SC

  Medicare reassignment Care Compare group NPD
• Edward W Sparrow Hospital Association

  dba Heart and Vascular Center - Interventional Radiology Department

  • Vascular & Interventional Radiology Physician
  • Lansing, MI
  • NPI 1629517420
  Medicare reassignment Care Compare group NPD
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment Care Compare group NPD
• Humboldt Park Health

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1740417153

  SC

  Medicare reassignment Care Compare group NPD
• Interfaith Professional Physician Services, P.C.

  dba OBH Physician Associates

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1457643991

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Lubbock County Hospital District

  dba UMC Radiology

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1437170313
  Medicare reassignment Care Compare group NPD
• Mercy Health System Corporation

  dba MHS Physician Services

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  IL

  Medicare reassignment Care Compare group NPD
• On-Line Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Riverside, CA
  • NPI 1710158498

  SC

  Medicare reassignment Care Compare group NPD
• Pco PC

  dba PCO Radiology PC

  • Diagnostic Radiology Physician
  • Lowville, NY
  • NPI 1881230563

  SC

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Albuquerque, PA

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1881666998

  SC

  Medicare reassignment Care Compare group NPD

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

• Lexington Health Inc

  dba Lexington Medical Center

  • General Acute Care Hospital
  • West Columbia, SC
  • NPI 1386241834
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  dba Thoracic Cardiovascular Institute

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation
• Lubbock County Hospital District

  dba Univeristy Medical Center

  • Land Ambulance
  • Lubbock, TX
  • NPI 1174620546

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  dba University Medical Center

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
  • NPI 1538245717

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  dba University Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1679521652

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  dba University Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1821087164
  Care Compare affiliation
• Lubbock County Hospital District

  dba Univeristy Medical Center

  • Hearing and Speech Clinic/Center
  • Lubbock, TX
  • NPI 1831299114

  Hospital

  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Kaseman Psych Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482
  Care Compare affiliation
• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1346380870
  Care Compare affiliation
• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1356307656
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1982633426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-791-2460",
            "fax_number": "803-791-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CLARENCE",
        "middle_name": "SYLVESTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "11144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111444",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavis7812@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2720 Sunset Blvd",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dare to Evolve Counseling & Consulting, LLC
• Elizabeth H Darragh, MD
• Alexia Davis
• Asia Alexandra Davis
• Carlotta M Davis, APRN
• Edward Christopher Davis, DDS, MS
• Ian James Davis, DO
• Keyshaun Davis
• Kristen L Davis, PT
• Lisa Mondo Davis, NP-C

• Diagnostic Radiology Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.