JOHN M DAVIS MD
NPI 1649245358
Specialist in Myrtle Beach, SC
About John M Davis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN M DAVIS MD (NPI 1649245358) is an individual specialist in Myrtle Beach, South Carolina, licensed in South Carolina (38560) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John M Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show John Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
North Bergen, NJ 07047
- Reassigned Medicare billing, New Jersey enrollment
- 32 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Davis's NPI number?
The NPI number for John Davis is 1649245358. It was assigned to this individual provider in the NPPES registry on February 17, 2006.
Where is John Davis located?
John Davis practices at 849 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 497-6348.
What is John Davis's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is John Davis enrolled in Medicare?
Yes. John Davis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Davis reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Palisades Medical Associates LLC (North Bergen, NJ) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 John Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Davis was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# John M Davis, MD · NPI 1649245358
Specialist provider in Myrtle Beach, South Carolina. Individual provider, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1649245358 (Entity type: Individual)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 38560 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 849 82ND PKWY, Myrtle Beach, SC 29572-4614
- **Phone:** (843) 497-6348 · **Fax:** (843) 497-6351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); Palisades Medical Associates LLC (NPI 1558475087, North Bergen, NJ); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2016
- **Other identifiers:** Medicare PIN SC66599169 (SC); Medicare UPIN D38969 (NJ); Medicaid 038560200 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1649245358) · Data from the CMS NPPES public registry.