DERICK C DAVIS
NPI 1821626052
Physical Medicine & Rehabilitation in Atlanta, GA

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
5555 PEACHTREE DUNWOODY RD STE G65, ATLANTA, GA 30342(404) 843-3323(404) 574-5944 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Years of Experience 7
  • Physical Medicine & Rehabilitation
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DERICK DAVIS

This page provides the complete NPI Profile along with additional information for Derick Davis, a provider established in Atlanta, Georgia with a medical specialization in Physical Medicine & Rehabilitation and more than 7 years of experience. He graduated from University Of Missouri, Columbia School Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1821626052 assigned on April 2020. The practitioner's primary taxonomy code is 208100000X with license number 103808 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1821626052 Verify this NPI
Provider Name
DERICK C DAVIS
Gender
Male
Entity Type
Individual
Location Address
5555 PEACHTREE DUNWOODY RD STE G65 ATLANTA, GA 30342
Location Phone
(404) 843-3323
Location Fax
(404) 574-5944
Mailing Address
152 COLOR CIR ATLANTA, GA 30317
Mailing Phone
(573) 639-3308
Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-01-2020
Last Update Date
10-20-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
103808
License State
GA
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Medicare Participation & PECOS Enrollment Status

Derick Davis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Derick Davis is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446673446

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251029002663

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DERICK C DAVIS

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
5555 PEACHTREE DUNWOODY RD STE G65
ATLANTA, GA 30342
Physical Medicine & Rehabilitation
5555 PEACHTREE DUNWOODY RD STE G65
ATLANTA, GA 30342
Nurse Practitioner (Family)
5555 PEACHTREE DUNWOODY RD STE G65
ATLANTA, GA 30342
Physician Assistant
5555 PEACHTREE DUNWOODY RD STE G65
ATLANTA, GA 30342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821626052, enumerated as an "individual" on April 01, 2020.

The provider is located at 5555 PEACHTREE DUNWOODY RD STE G65 ATLANTA, GA 30342 and the phone number is (404) 843-3323.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.