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EDDIE DAVIS, DPM, PLLC
NPI 1114179884
Podiatrist in San Antonio, TX

Active since October 14, 2008
109 GALLERY CIR STE 119, SAN ANTONIO, TX 78258(210) 490-3668(210) 267-5262 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2025, Nov 20, 2020 (2 updates tracked since 2020).

About Eddie Davis, Dpm, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDIE DAVIS, DPM, PLLC (NPI 1114179884) is a healthcare organization registered as a podiatrist in San Antonio, Texas and active in the NPI registry since October 2008. The organization lists Eddie Davis, Physician, as its authorized official.

NPPES Registry Identity

NPI1114179884
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEDDIE DAVIS, DPM, PLLC
Location Address109 GALLERY CIR STE 119San Antonio, TX 78258-3328
Mailing Address109 Gallery Cir Ste 119San Antonio, TX 78258-3328 · (210) 490-3668 · Fax (210) 267-5262
Phone(210) 490-3668
Fax(210) 267-5262
Organization SubpartNo
Authorized OfficialEddie DavisPhysician · (210) 490-3668
Enumeration DateOctober 14, 2008
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1114179884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
109 GALLERY CIR STE 119, San Antonio, TX 78258
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Other Identifiers 1

Medicaid2094732 GROUPTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRYAN A SAGRAY DPM
Podiatrist (Foot & Ankle Surgery)
109 GALLERY CIR STE 119
SAN ANTONIO, TX 78258
Bexar County (210) 490-3668
EDDIE DAVIS DPM
Podiatrist (Foot & Ankle Surgery)
109 GALLERY CIR STE 119, SUITE 119
SAN ANTONIO, TX 78258
Bexar County (210) 490-3668
EDDIE DAVIS DPM PLLC
Non-Pharmacy Dispensing Site
109 GALLERY CIR STE 119
SAN ANTONIO, TX 78258
Bexar County (210) 490-3668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Davis, Dpm, PLLC's NPI number?

The NPI number for Eddie Davis, Dpm, PLLC is 1114179884. It was assigned to this organization in the NPPES registry on October 14, 2008.

Where is Eddie Davis, Dpm, PLLC located?

Eddie Davis, Dpm, PLLC is located at 109 Gallery Cir Ste 119, San Antonio, TX 78258. The listed phone number is (210) 490-3668.

What is Eddie Davis, Dpm, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Eddie Davis, Dpm, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Eddie Davis, Dpm, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eddie Davis, Dpm, PLLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.