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BLAKE THOMAS DAVIS M.D.
NPI 1275067589
Surgery in Camp Lejeune, NC

Active since April 13, 2017PECOS Enrolled
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4357 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2024, Aug 23, 2022, Apr 13, 2017 (3 updates tracked since 2017).

About Blake Thomas Davis M.d. NPPES

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

BLAKE THOMAS DAVIS M.D. (NPI 1275067589) is an individual surgery provider in Camp Lejeune, North Carolina, licensed in North Carolina (2023-01787) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275067589
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBLAKE THOMAS DAVISCredential: M.D.
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575
Mailing AddressUss Nimitz, Cvn68 Unit 100103Fpo, AP 96620
Phone(910) 450-4357
Sole ProprietorNo
Enumeration DateApril 13, 2017
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1275067589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · 2023-01787✔ Licensed in FL · ME155570
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 BREWSTER BLVD, Camp Lejeune, NC 28547
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Thomas Davis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28547 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MR. JUSTIN THOMAS DAUGHTRY D.O.
Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4841
MR. JASON HUSON GIECKO
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 451-5125
MRS. HOLLY F CARTER LPT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2538
JEREMY MOORE CRNA
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4357
DANIELLE BERNAL MD
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4860
ZAINAB AL CHALABI SAVARD APRN
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2779
SAMANTHA ELIZABETH KING MD
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4408
MATTHEW PATRICK SULLIVAN MD
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159

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 Blake Davis's NPI number?

The NPI number for Blake Davis is 1275067589. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Blake Davis located?

Blake Davis practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4357.

What is Blake Davis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Blake Davis enrolled in Medicare?

Yes. Blake Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blake Davis was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.