Robert W Davis (NPI# 1992741284, PAC ID# 1355338146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1992741284 |
| PAC ID by PECOS | 1355338146 |
| Professional Enrollment ID | I20040430000816 |
| Full Name | Robert W Davis |
| Organization Legal Name | DAVIS MEDICAL CLINIC LTD |
| Address |
45020 Hwy 17 Vernon AL 35592-5636 |
| Phone Number | 2056950106 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1965 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729267992 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| 010045 | FAYETTE MEDICAL CENTER |
| 250100 | BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC |
| 010086 | NORTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 45020 Hwy 17, Vernon, AL 35592-5636 | 2056950106 | DAVIS MEDICAL CLINIC LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DAVIS MEDICAL CLINIC LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Christine Hattaway | Nurse Practitioner | Davis Medical Clinic Ltd | 45020 Hwy 17, Vernon, AL 35592-5636 |
| Street Address |
45020 HWY 17 |
| City | VERNON |
| State | AL |
| Zip | 35592-5636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Christine Hattaway | Nurse Practitioner | Davis Medical Clinic Ltd | 45020 Hwy 17, Vernon, AL 35592-5636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Powell Berry | Chiropractic | 47776 Hwy 17, Vernon, AL 35592-4257 | |
| Ashley Lauren Elizabeth Sudduth | Nurse Practitioner | 1050 Convalescent Rd, Vernon, AL 35592-4823 | |
| Jennifer C Josey | Chiropractic | 178 1st Nest, Vernon, AL 35592-5430 | |
| Keith Mccoy | Emergency Medicine | Lamar Medical Clinic LLC | 44946 Hwy 17, Vernon, AL 35592-5630 |
| Crystal A Mccoy | Nurse Practitioner | Lamar Medical Clinic LLC | 44946 Hwy 17, Vernon, AL 35592-5630 |
| James K Richardson | Physical Therapy | 314 Columbus Ave N W, Vernon, AL 35592-5703 | |
| Angela L Carroll Brock | Nurse Practitioner | Northwest Alabama Mental Health Center | 141 2nd Ave Nw, Vernon, AL 35592-5765 |
| City | VERNON |
| Zip Code | 35592 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VERNON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert W Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.