1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Emergency Medicine
  6. NPI Profile

DR. PETER GLENN DAVIS MD
NPI 1457379646
Emergency Medicine in Jacksonville, FL

Active since July 17, 2006PECOS Enrolled
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 936-5682(904) 346-0864 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter Glenn Davis Md NPPES

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

DR. PETER GLENN DAVIS MD (NPI 1457379646) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME94594) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2002).

NPPES Registry Identity

NPI1457379646
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PETER GLENN DAVISCredential: MD
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address820 Prudential Dr Ste 713Jacksonville, FL 32207-8209 · (904) 396-5682 · Fax (904) 346-0864
Phone(904) 936-5682
Fax(904) 346-0864
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2002
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 13, 2023
NPPES CertifiedJanuary 13, 2023
✔ NPI 1457379646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME94594
Definition
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.
800 PRUDENTIAL DR, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 3

Other34092FL · Bcbs
Medicaid869224359AGA
Medicaid274864900FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Glenn Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305860222
PECOS Enrollment IDI20260428002749
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 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

ERIN M SCHOLZ MS CCC-SLP
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
TERRI TURNER TOMLINSON MSC CC-SLP
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
MICHELLE SENIA ANTONIO PT
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
ELIZABETH ANN POSTUPACK NURSE PRACTITIONER
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 244-4242
ALYSSA KAY MOULDS CAA
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
JAMEY MEDDERS CAA
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
DR. DAVID ANDREW HOLLOMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (843) 323-8883
MR. BRADLEY JAMES WINE RN
Registered Nurse (Medical-Surgical)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000

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 Peter Davis's NPI number?

The NPI number for Peter Davis is 1457379646. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Peter Davis located?

Peter Davis practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 936-5682.

What is Peter Davis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Peter Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Peter Davis was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.