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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTONIO TREMON DAVIS LISW
NPI 1497325195
Social Worker - Clinical in Eastover, SC

Active since June 26, 2021PECOS EnrolledAccepts Medicare Assignment
3041 OLD EASTOVER RD, EASTOVER, SC 29044(803) 353-8741 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Jun 26, 2021 (2 updates tracked since 2021).

About Antonio Tremon Davis Lisw NPPES

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

ANTONIO TREMON DAVIS LISW (NPI 1497325195) is an individual clinical provider in Eastover, South Carolina, licensed in South Carolina (17337) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497325195
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameANTONIO TREMON DAVISCredential: LISW
Location Address3041 OLD EASTOVER RDEastover, SC 29044-8303
Mailing Address3041 Old Eastover RdEastover, SC 29044-8303 · (803) 353-8741
Phone(803) 353-8741
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 26, 2021
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1497325195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SC · 17337
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3041 OLD EASTOVER RD, Eastover, SC 29044
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Tremon Davis Lisw 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 ID143758441
PECOS Enrollment IDI20250115000160
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.

Medicare Billing Reassignments

2

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

Eau Claire Cooperative Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
3041 OLD EASTOVER ROAD
Eastover, SC 29044
  • Reassigned Medicare billing, South Carolina enrollment
  • 145 clinicians in this Medicare group
NPI 1811294978 (803) 353-8741
Mental Health Specialty Group PA
178 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, South Carolina enrollment
  • 106 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29044 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
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 3

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

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Pharmacy
3041 OLD EASTOVER RD
EASTOVER, SC 29044
Richland County (803) 875-8010
MRS. TONIA MICHELE WOOD FNP
Nurse Practitioner (Family)
3041 OLD EASTOVER RD
EASTOVER, SC 29044
Richland County (803) 353-8741
WANDA KAY FULTON FNP-BC
Nurse Practitioner (Family)
3041 OLD EASTOVER RD
EASTOVER, SC 29044
Richland County (803) 353-8741

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 Antonio Davis's NPI number?

The NPI number for Antonio Davis is 1497325195. It was assigned to this individual provider in the NPPES registry on June 26, 2021.

Where is Antonio Davis located?

Antonio Davis practices at 3041 Old Eastover Rd, Eastover, SC 29044. The listed phone number is (803) 353-8741.

What is Antonio Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Antonio Davis enrolled in Medicare?

Yes. Antonio Davis 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.

Which organizations bill Medicare for Antonio Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Davis reassigns Medicare benefits to 2 organizations: Eau Claire Cooperative Health Center, Inc. (Eastover, SC) and Mental Health Specialty Group PA (Durham, NC). 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 Antonio Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Davis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Antonio 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 Antonio Davis was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.