DR. RUSSELL KELSO DAVIS D.C.
NPI 1982607966
Chiropractor - Sports Physician in Havelock, NC

Q: What is Russell Davis's NPI number?

The NPI number for Russell Davis is 1982607966. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Russell Davis's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Russell Davis was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 24, 2005Accepts Medicare Assignment

318 E. MAIN ST., HAVELOCK, NC 28532(252) 444-3377(252) 444-3529 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Russell Kelso Davis D.c. NPPES

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

DR. RUSSELL KELSO DAVIS D.C. (NPI 1982607966) is an individual sports physician in Havelock, North Carolina, licensed in North Carolina (2801) and active in the NPI registry since May 2005. He is a graduate of Palmer College Chiropractic - Davenport (2000).

NPPES Registry Identity

NPI1982607966

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. RUSSELL KELSO DAVISCredential: D.C.

Location Address318 E. MAIN ST.Havelock, NC 28532-2214

Mailing Address318 E. Main St., Naval HospitalHavelock, NC 28532-2214 · (252) 444-3377 · Fax (252) 444-3529

Phone(252) 444-3377

Fax(252) 444-3529

Sole ProprietorYes

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2000

Enumeration DateMay 24, 2005

Last NPPES UpdateMay 17, 2016

✔ NPI 1982607966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in NC · 2801

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

318 E. MAIN ST., Havelock, NC 28532

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Other Identifiers 5

Other616120NC · Acn Identification #

Other0844VNC · Bcbs Provider #

Medicare UPINU80827NC

Other7167352NC · Aetna Provider #

Medicaid890844VNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Dr. Russell Kelso Davis D.c. 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 ID5890838171

PECOS Enrollment IDI20100209000397

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

47 services13 patients

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 1982607966. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Russell Davis located?

Russell Davis practices at 318 E. Main St., Havelock, NC 28532. The listed phone number is (252) 444-3377.

What is Russell Davis's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

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.

When was this NPI record last updated?

The NPPES record for Russell Davis was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.