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P. CARL DAVIDSON M.D.
NPI 1295701704
Ophthalmology in Rome, GA

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
109 JOHN MADDOX DR NW STE 230, ROME, GA 30165(706) 291-7360 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Aug 10, 2021 (2 updates tracked since 2021).

About P. Carl Davidson M.d. NPPES

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

P. CARL DAVIDSON M.D. (NPI 1295701704) is an individual ophthalmology provider in Rome, Georgia, licensed in Georgia (029861) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rome, and is a graduate of Johns Hopkins University School Of Medicine (1983).

NPPES Registry Identity

NPI1295701704
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameP. CARL DAVIDSONCredential: M.D.
Location Address109 JOHN MADDOX DR NW STE 230Rome, GA 30165-1452
Mailing Address109 John Maddox Dr Nw Ste 230Rome, GA 30165-1452 · (706) 291-7360 · Fax (706) 291-8655
Phone(706) 291-7360
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1983
Enumeration DateFebruary 24, 2006
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1295701704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 029861
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
109 JOHN MADDOX DR NW STE 230, Rome, GA 30165
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Secondary Practice Location 1

Location 11013 North Fifth Ave., SUITE 3Rome, GA 30165-2664 · Phone (706) 291-7360 · Fax (706) 291-8655

Other Identifiers 1

Medicaid00348895AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

P. Carl Davidson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385729888
PECOS Enrollment IDI20100909000689
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 30165 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
100%90 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%91 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%52 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 P. Davidson's NPI number?

The NPI number for P. Davidson is 1295701704. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is P. Davidson located?

P. Davidson practices at 109 John Maddox Dr NW Ste 230, Rome, GA 30165. The listed phone number is (706) 291-7360.

What is P. Davidson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is P. Davidson enrolled in Medicare?

Yes. P. Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does P. Davidson accept?

Health plans from Alliant Health Plans, Inc. and Providence Health Plan list P. Davidson 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 P. Davidson was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.