MR. CLINTON L DAVIS NP NPI 1760032510

Nurse Practitioner (Acute Care) in Bay Minette, AL

NPI 1760032510 Individual Male Years of Experience 3 Nurse Practitioner Acute Care PECOS Enrolled Accepts Medicare Approved Payment

About CLINTON DAVIS

Clinton Davis is a provider established in Bay Minette, Alabama and his medical specialization is nurse practitioner (acute care) with more than 3 years of experience. The NPI number of Clinton Davis is 1760032510 and was assigned on September 2019. The practitioner's primary taxonomy code is 363LA2100X with license number 1-126214 (AL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

A nurse practitioner (NP) like Mr. Clinton L Davis Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Clinton Davis is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Clinton Davis is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mobile Infirmary Medical Center, North Baldwin Infirmary and Monroe County Hospital.

NPI

1760032510

Provider NameMR. CLINTON L DAVIS NP
Provider Location Address1815 HAND AVE BAY MINETTE, AL 36507
Provider Mailing Address1506 MOOG AVENUE BAY MINETTE, AL 36507
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2019
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-13-2019
Last Update Date09-13-2019


Primary Taxonomy

Taxonomy Code363LA2100X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAcute Care
License No.1-126214
License StateAL

Business Address

MR. CLINTON L DAVIS NP
1815 HAND AVE
BAY MINETTE, AL
ZIP 36507
Phone: (251) 937-5521

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Mailing Address

MR. CLINTON L DAVIS NP
1506 MOOG AVENUE
BAY MINETTE, AL
ZIP 36507
Phone: (251) 979-5591



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4789916222
PECOS Enrollment IDI20191101000883
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Clinton Davis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MOBILE INFIRMARY MEDICAL CENTER5 MOBILE INFIRMARY CIRCLE
MOBILE, AL 36652
(251) 435-4700Acute Care Hospitals10113
NORTH BALDWIN INFIRMARY1815 HAND AVENUE
BAY MINETTE, AL 36507
(251) 937-5521Acute Care Hospitals10129
MONROE COUNTY HOSPITAL2016 SOUTH ALABAMA AVENUE
MONROEVILLE, AL 36460
(251) 575-3111Acute Care Hospitals10120

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316982960DR. ANDREW EDGAR MD
Individual
Anesthesiology1815 HAND AVE
BAY MINETTE, AL 36507
(251) 580-1752
1821025420DR. MARK CROWELL MD
Individual
Anesthesiology1815 HAND AVE
BAY MINETTE, AL 36507
(251) 580-1752
1295922102MRS. KATIE A AVERITT OTR/L
Individual
Occupational Therapist1815 HAND AVE
BAY MINETTE, AL 36507
(251) 937-2823
1831386754MRS. DELLA LEANNE WALTON CARLISLE O.T.
Individual
Occupational Therapist1815 HAND AVE
BAY MINETTE, AL 36507
(251) 937-2823
1417111634PULMONARY ASSOCIATES OF MOBILE, PC
Organization
Internal Medicine (Pulmonary Disease)1815 HAND AVE
BAY MINETTE, AL 36507
(251) 433-3344
1891060828GULF HEALTH HOSPITALS, INC
Organization
Psychiatric Unit1815 HAND AVE
BAY MINETTE, AL 36507
(251) 435-2290
1134164924GULF HEALTH HOSPITALS, INC.
Organization
General Acute Care Hospital1815 HAND AVE
BAY MINETTE, AL 36507
(251) 580-1717
1891723441BALDWIN PHYSICIAN SERVICES PC
Organization
Hospitalist1815 HAND AVE
BAY MINETTE, AL 36507
(251) 435-2646
1609292176 MISTY M. STEINER FNP
Individual
Nurse Practitioner (Family)1815 HAND AVE
BAY MINETTE, AL 36507
(251) 545-4579
1982138772 KIMBERLY BRIGHT
Individual
Nurse Practitioner (Family)1815 HAND AVE
BAY MINETTE, AL 36507
(251) 937-5521
1891211496MR. CHISTOPHER PAUL STAGNER CRNP
Individual
Nurse Practitioner (Family)1815 HAND AVE
BAY MINETTE, AL 36507
(251) 937-5521
1285996678MRS. KATIE JOFFE PA-C
Individual
Physician Assistant1815 HAND AVE
BAY MINETTE, AL 36507
(251) 937-5521
1225514599GULF HEALTH HOSPITALS, INC
Organization
General Acute Care Hospital1815 HAND AVE
BAY MINETTE, AL 36507
(251) 580-1717
1962783472BAYSIDE ORTHOPAEDIC & REHABILITATION CENTER, P.C.
Organization
Orthopaedic Surgery1815 HAND AVE
BAY MINETTE, AL 36507
(251) 928-2401
1336366350DR. AARON B SCHULLER M.D.
Individual
Emergency Medicine1815 HAND AVE
BAY MINETTE, AL 36507
(251) 937-5521
1760092449GULF HEALTH HOSPITALS, INC.
Organization
Clinical Medical Laboratory1815 HAND AVE
BAY MINETTE, AL 36507
(251) 435-5037
1578048278IMC-EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine1815 HAND AVE
BAY MINETTE, AL 36507
(251) 435-1330
1003169392DR. JEFFREY ALSTON WHITENER D.O.
Individual
Emergency Medicine1815 HAND AVE
BAY MINETTE, AL 36507
(251) 435-1330
1205421435 ANGELIA DANIELLE ANDERSON APRN
Individual
Nurse Practitioner (Family)1815 HAND AVE
BAY MINETTE, AL 36507
(251) 937-5521
1417546177 MARISA DIAMOND JURISIC MSN, NP-C
Individual
Nurse Practitioner (Family)1815 HAND AVE
BAY MINETTE, AL 36507
(251) 435-1330

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.