Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801121108 Individual Practitioner Female Practitioner

Dr. Carly Rae Davis , MD

Pediatrics • Riverton, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carly Davis, MD is a certified Pediatrics practicing in Riverton, UT. With approximately 18 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 2008, Dr. Davis delivers high-quality medical care to the local community at 12391 S 4000 W.

Dr. Davis is affiliated with Granger Medical Clinic Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

12391 S 4000 W

Riverton, UT 840967012

Telephone 8013021700
Associated Practice Facility / Clinic
🏢 Granger Medical Clinic Inc Facility NPI 1881797876

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Riverton, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +6.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Riverton, UT (688 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (18 Years) 18 Yrs
Riverton Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-02-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 7996415-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AZ R70650

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Infectious Diseases

NUCC Taxonomy Code: 2080P0208X

State License UT 7996415-1205

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Hospital & Practice Group Affiliations

Granger Medical Clinic Pc

12391 S 4000, Riverton, UT 840967012

Phone: 8013021700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1003029935

Doctor of Medicine (M.D.)

Adam Christiansen , PA-C

Physician Assistant

NPI 1073088969

Physician Assistant (Certified)

Brad Pulsipher , MSN-FNP

Nurse Practitioner - Primary Care

NPI 1073872909

MSNFNP

Aubrey George , FNP-C

Nurse Practitioner - Family

NPI 1083315220

Family Nurse Practitioner (Certified)

Jennifer Glazier , PA-C

Physician Assistant - Medical

NPI 1255771499

Physician Assistant (Certified)

Dr. William Warner , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1265403463

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2025

Pediatrics (License #R70650 in AZ)

NPI Profile Active December 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2015

Registered at 12391 S 4000 W, RIVERTON, UT 840967012 (Tel: 8013021700)

📍
Updated Business Mailing Address December 16, 2015

Registered at 12391 S 4000 W, RIVERTON, UT 840967012 (Tel: 8013021700)

👤
Provider Name / Credentials Updated December 16, 2015

Recorded as CARLY DAVIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2015

Pediatrics (License #7996415-1205 in UT)

🟢
Initial NPI Registration & Enumeration October 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801121108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2009
Last Update: February 20, 2025
Sole Proprietor: Yes

Mailing Address

12391 S 4000 W

Riverton, UT 840967012

Phone: 8013021700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.