SAMUEL P. DAVIS, III MD – NPI #1982631768
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

SAMUEL DAVIS, III is an otolaryngologist located in GOLDSBORO, NC. NPPES has assigned the NPI number 1982631768 to SAMUEL DAVIS, III on June 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 5 years ago on May 07, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL DAVIS, III below.

NPI Profile for
SAMUEL P. DAVIS, III

NPI Number
1982631768
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL P. DAVIS, III
Credentials
MD
Primary location
2707 MEDICAL OFFICE PL
GOLDSBORO, NC 27534-9458
Phone: (919) 735-9146 Fax: (919) 735-0582
1 Other location(s):
3930 Mezzanine Dr
Suite D
Lafayette, IN 47905-8646
Phone: (765) 807-2784
Fax: (765) 807-2786
Mailing address
2000 PERIMETER PARK DR STE 200
MORRISVILLE, NC 27560-8442
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
May 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SAMUEL DAVIS, III

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPALMETTO GBA-RR MEDICARENC040014729
MEDICAIDIN201036750
MEDICAIDNC891214V
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)		 IN 01070226A
207YS0123X
- Otolaryngology / Facial Plastic Surgery		 IN 01070226A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
cary
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
601 KEISLER DR STE 200,
CARY, NC 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
2707 MEDICAL OFFICE PL,
GOLDSBORO, NC 77025-1669

Additional Information

Education
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE - Graduated 1993
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SAMUEL DAVIS, III is affiliated with the following medical group(s):
  • HOSPITAL
    • WAYNE MEMORIAL HOSPITAL
      2700 WAYNE MEMORIAL DR
      GOLDSBORO, NC 27534

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.