RUSSELL DAVID DAVIS PA
NPI 1669119145
Physician Assistant in Clemmons, NC

Active since May 17, 2022PECOS EnrolledAccepts Medicare Assignment
7210 VILLAGE MEDICAL CIR STE 110, CLEMMONS, NC 27012(336) 893-2400(336) 893-2410 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2023, May 17, 2022 (2 updates tracked since 2022).

About Russell David Davis Pa NPPES

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

RUSSELL DAVID DAVIS PA (NPI 1669119145) is an individual physician assistant in Clemmons, North Carolina, licensed in North Carolina (0010-12444) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1669119145
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUSSELL DAVID DAVISCredential: PA
Location Address7210 VILLAGE MEDICAL CIR STE 110Clemmons, NC 27012-8041
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 893-2400 · Fax (336) 893-2410
Fax(336) 893-2410
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 17, 2022
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
NPI 1669119145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-12444
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7210 VILLAGE MEDICAL CIR STE 110, Clemmons, NC 27012

Secondary Practice Location 1

Location 1Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2011

Accepted 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

Russell David Davis Pa 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 ID3577949429
PECOS Enrollment IDI20220930000882
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27012 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 9

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

Orthopaedic Surgery
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Orthopaedic Surgery (Foot and Ankle Surgery)
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Orthopaedic Surgery
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Orthopaedic Surgery
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Physician Assistant
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Physician Assistant
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Orthopaedic Surgery
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Physician Assistant
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012

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 Russell Davis's NPI number?

The NPI number for Russell Davis is 1669119145. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Russell Davis located?

Russell Davis practices at 7210 Village Medical Cir Ste 110, Clemmons, NC 27012. The listed phone number is (336) 893-2400.

What is Russell Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Russell Davis enrolled in Medicare?

Yes. Russell 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.

What insurance does Russell Davis accept?

Health plans from Blue Cross and Blue Shield of NC list Russell 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.

Is Russell Davis affiliated with any hospitals?

According to CMS data, Russell Davis is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Russell Davis was last updated on June 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.