Robert William Davis, MD
Individual provider Active NPI Family Medicine Physician · Vernon, AL
NPI 1992741284 · NPPES record last updated Mar 21, 2018
Key facts
- NPI
- 1992741284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 00003636 (AL)
- Practice address
- 45020 Highway 17
Vernon, AL 35592 - Phone
- (205) 695-0106
- Fax
- (205) 695-0502
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lamar Family Medicine
Practice addresses (Care Compare)
45020 Hwy 17
Vernon, AL 35592-5636
Phone (205) 695-0106
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040430000816 | AL | Practitioner - Family Practice | 1355338146 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00003636 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamar Family Medicine | Family Medicine | Current |
Accepting new patients |
| Chiropractic Center of Vernon | Past | Accepting new patients |
Locations
45020 Highway 17
Vernon, AL 35592
Phone (205) 695-0106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00003636 | AL | Yes |
Addresses
Primary practice location
45020 Highway 17
Vernon, AL 35592
Mailing address
41881 Highway 17
Vernon, AL 35592-4004
Phone (205) 695-9411
Other practice location 1
49494 Highway 17
Sulligent, AL 35586-4454
Phone (205) 698-7111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009947165 | Medicaid | AL | |
| 51520568 | Other | AL | BCBS AL PIN |
Other providers in Vernon, AL
- Chiropractic Center of Vernon
- City of Vernon
- Cooks Pharmacy Inc.
- Lara Beth Crosby
- Davis Medical Clinic LTD
- Dixie Field Healthcare LLC
- Duco, Inc
- Terry L Duke
- Sam Farrell Durham Jr.
- Susan Ray Durham
All providers in Vernon, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.