DR. WAYNE BYRON DAVIS D.C.
NPI 1376716654
Chiropractor in Rockford, IL

Active since April 08, 2008
863 S PERRYVILLE RD STE 100, ROCKFORD, IL 61108(779) 423-2044(779) 423-2045 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2024, Mar 12, 2020 (2 updates tracked since 2020).

About Dr. Wayne Byron Davis D.c. NPPES

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

DR. WAYNE BYRON DAVIS D.C. (NPI 1376716654) is an individual chiropractor in Rockford, Illinois, licensed in Illinois (038.011236) and active in the NPI registry since April 2008. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376716654
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. WAYNE BYRON DAVISCredential: D.C.
Location Address863 S PERRYVILLE RD STE 100Rockford, IL 61108-4328
Mailing Address1715 5th Ave Ste AMoline, IL 61265-7911 · (563) 650-4169
Fax(779) 423-2045
Sole ProprietorNo
Enumeration DateApril 8, 2008
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1376716654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IL · 038.011236✔ Licensed in IA · 06529
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
863 S PERRYVILLE RD STE 100, Rockford, IL 61108

Secondary Practice Locations 2

Location 11445 Ansborough AveWaterloo, IA 50701-3430 · Phone (319) 232-9436 · Fax (319) 232-2342
Location 21715 5th Ave Ste AMoline, IL 61265-7911 · Phone (563) 650-4169

Other Identifiers 1

Other1447559935IL · National Provider Identifier

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wayne Byron Davis D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Wayne Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
811 S PERRYVILLE RD, 117
Rockford, IL 61108
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
General Practice
1929 10TH AVE E
Milan, IL 61264
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Chiropractor
863 S PERRYVILLE RD STE 100
ROCKFORD, IL 61108
Chiropractor
863 S PERRYVILLE RD STE 100
ROCKFORD, IL 61108
General Practice
863 S PERRYVILLE RD STE 100
ROCKFORD, IL 61108

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 Wayne Davis's NPI number?

The NPI number for Wayne Davis is 1376716654. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Wayne Davis located?

Wayne Davis practices at 863 S Perryville Rd Ste 100, Rockford, IL 61108. The listed phone number is (779) 423-2044.

What is Wayne Davis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Wayne Davis enrolled in Medicare?

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

Which organizations bill Medicare for Wayne Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Davis reassigns Medicare benefits to 2 organizations: Chiropractic First Of Rockford (Rockford, IL) and Milan Medical Group Ltd (Milan, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wayne Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wayne Davis accept?

Health plans from Oscar Insurance Company list Wayne Davis 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 Wayne Davis was last updated on February 9, 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.