Individual provider Active NPI

Reginald J Davis, M.D.

  • Neurological Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1992721021
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME122117 Issued in FL
Practice address
7331 College Pkwy Ste 300
Fort Myers, FL 33907-5524
Phone
(239) 337-2003
Fax
(239) 337-3168
NPI assigned
Jul 14, 2006
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0030060 MD
Neurological Surgery Physician 207T00000X ME122117 FL Primary

Addresses

Primary practice location

7331 College Pkwy Ste 300
Fort Myers, FL 33907-5524

Mailing address

7331 College Pkwy Ste 300
Fort Myers, FL 33907-5524
Phone (239) 337-2003

Other practice location 1

1020 Crosspointe Dr Ste 110
Naples, FL 34110-0918
Phone (239) 337-2003

Other identifiers 1

IdentifierTypeStateIssuer
408761500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151008001577 FL Practitioner - Neurosurgery 5294712329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Joint Implant Surgeons of Florida PAGroup PAC ID 7911909510, 25 clinicians

Practice addresses (Care Compare)

4316 Lee Blvd
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

7331 College Pkwy
Suite 300
Fort Myers, FL 33907-5524
Phone (239) 337-2003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122117FLMDNeurological Surgery Physician
D0030060MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Implant Surgeons of Florida PA CurrentSince Jan 20, 2025 Accepting new patients
Joint Implant Surgeons of Florida PA CurrentSince Jan 20, 2025 Accepting new patients
Medical Practices of Antietam, LLC Current Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Baltimore Spine Center, LLC PastSince Mar 31, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Lsi Houston, PA Past Accepting new patients

Locations

7331 College Pkwy
Ste 300
Fort Myers, FL 33907
Phone (239) 337-2003

1020 Crosspointe Dr
Ste 108
Naples, FL 34110
Phone (239) 337-2003

1020 Crosspointe Dr
Ste 110
Naples, FL 34110
Phone (239) 337-2003

11110 Medical Campus Rd
Ste 147
Hagerstown, MD 21742
Phone (240) 313-9600

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1992721021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Crosspointe Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341100918",
            "country_code": "US",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-3168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REGINALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0030060",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME122117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408761500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.