MR. PHILLIP ALAN DAVIS LSW
NPI 1891370201
Social Worker - Clinical in Rockford, IL
About Mr. Phillip Alan Davis Lsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PHILLIP ALAN DAVIS LSW (NPI 1891370201) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149.027614) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Phillip Alan Davis Lsw 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.
Medicare Billing Reassignments
3Medicare enrollment records show Phillip Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Naperville, IL 60564
- Reassigned Medicare billing, Illinois enrollment
- 475 clinicians in this Medicare group
Evanston, IL 60202
- Reassigned Medicare billing, Illinois enrollment
- 191 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, Illinois enrollment
- 106 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61107
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 Phillip Davis's NPI number?
The NPI number for Phillip Davis is 1891370201. It was assigned to this individual provider in the NPPES registry on March 17, 2021.
Where is Phillip Davis located?
Phillip Davis practices at 1021 N Mulford Rd, Rockford, IL 61107. The listed phone number is (888) 928-0212.
What is Phillip Davis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Phillip Davis enrolled in Medicare?
Yes. Phillip 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.
Which organizations bill Medicare for Phillip Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Davis reassigns Medicare benefits to 3 organizations: Edgewood Clinical Services, P.C. (Naperville, IL), Cmc Healthcare LLC (Evanston, IL) and Sondermind PC (San Jose, CA). 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 Phillip Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Davis accept?
Health plans from Oscar Health list Phillip 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.
When was this NPI record last updated?
The NPPES record for Phillip Davis was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Mr. Phillip Alan Davis, LSW · NPI 1891370201
Clinical provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1891370201 (Entity type: Individual)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149.027614 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1021 N MULFORD RD, Rockford, IL 61107-3874
- **Phone:** (888) 928-0212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Edgewood Clinical Services, P.C. (NPI 1295914646, Naperville, IL); Cmc Healthcare LLC (NPI 1295432334, Evanston, IL); Sondermind PC (NPI 1003646977, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891370201) · Data from the CMS NPPES public registry.