WILLIAM A DAVIS CLINIC
NPI 1710104260
Clinic/Center - Federally Qualified Health Center (FQHC) in St Paul, VA
About William A Davis Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM A DAVIS CLINIC (NPI 1710104260) is a healthcare organization registered as a federally qualified health center (fqhc) in St Paul, Virginia and active in the NPI registry since April 2007. The organization lists Malcolm Perdue, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William A Davis Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to William A Davis Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 St Charles Health Council Inc's NPI number?
The NPI number for St Charles Health Council Inc is 1710104260. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as William A Davis Clinic.
Where is St Charles Health Council Inc located?
St Charles Health Council Inc is located at 1389 Dante Road, St Paul, VA 24283. The listed phone number is (276) 762-0770.
What is St Charles Health Council Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is St Charles Health Council Inc enrolled in Medicare?
Yes. St Charles Health Council Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Charles Health Council Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 5 Medicare specialties reassign their Medicare billing to St Charles Health Council Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (5) and Internal Medicine (4). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for St Charles Health Council Inc was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# William A Davis Clinic · NPI 1710104260
Federally Qualified Health Center (FQHC) organization in St Paul, Virginia. Organization record, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1710104260 (Entity type: Organization)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** St Charles Health Council Inc
- **Organization subpart:** No
- **Authorized official:** Malcolm Perdue, CEO
## Practice location
- **Address:** 1389 DANTE ROAD, St Paul, VA 24283
- **Phone:** (276) 762-0770 · **Fax:** (276) 762-0678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (5), Internal Medicine (4); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1710104260/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2010
- **Other identifiers:** Medicare PIN C03823 (VA); Medicaid 007602979 (VA); Medicare OSCAR/certification 491815 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1710104260) · Data from the CMS NPPES public registry.