Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679590129 Individual Practitioner Male Practitioner

Dr. David S Davis , MD, JD, FACEP

Emergency Medicine • Hardy, VA

Professional Overview & Biography Verified Profile Summary

Dr. David Davis, MD, JD, FACEP is a registered healthcare professional specializing in Emergency Medicine in Hardy, VA. Practice services are available at 13205 BOOKER T WASHINGTON HWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13205 Booker T Washington Hwy

Hardy, VA 241013947

Telephone 5407191815
Fax 5407192867

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Hardy, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Hardy, VA (1769 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
36 36 $155.00 $72.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $155.00 $107.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $297.00 $107.62

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License VA 0101026320

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2004029820 (MO)
Medicaid State Provider ID
036104209 (IL)
Medicaid State Provider ID
208731919 (MO)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Jared Williamson , PA

Physician Assistant

NPI 1285208553

Physician Assistant

Marc Kalin , PA

Physician Assistant

NPI 1326041781

Physician Assistant

Stephanie Cash , FNP-C

Nurse Practitioner - Family

NPI 1598292864

Family Nurse Practitioner (Certified)

Joseph Grisetti , NP-C

Nurse Practitioner - Family

NPI 1629505862

Nurse Practitioner (Certified)

Leonard Galvan , PA-C

Physician Assistant

NPI 1659347474

Physician Assistant (Certified)

Dr. Elroy Cantrell , DO

Emergency Medicine

NPI 1699754150

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 20, 2018

Registered at 13205 BOOKER T WASHINGTON HWY, HARDY, VA 241013947 (Tel: 5407191815)

📍
Updated Business Mailing Address December 20, 2018

Registered at 13205 BOOKER T WASHINGTON HWY, HARDY, VA 241013947 (Tel: 5407191815)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2018

Emergency Medicine (License #0101026320 in VA)

NPI Profile Active July 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2014

Registered at 1 MEMORIAL DR, ALTON, IL 620026722 (Tel: 6184637311)

📍
Updated Business Mailing Address July 24, 2014

Registered at 75 REMIT DRIVE, LOCKBOX 1876, CHICAGO, IL 606751876 (Tel: 8669165259)

👤
Provider Name / Credentials Updated July 24, 2014

Recorded as DAVID DAVIS, M.D., J.D., FACEP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2014

Emergency Medicine (License #2004029820 in MO)

🟢
Initial NPI Registration & Enumeration July 17, 2006

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: 1679590129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: December 20, 2018
Sole Proprietor: No

Mailing Address

13205 Booker T Washington Hwy

Hardy, VA 241013947

Phone: 5407191815

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.