BENJAMIN A. DAVIDSON (M.D.) – Family Medicine Physician, NPI 1629228887

BENJAMIN A. DAVIDSON (M.D.) is a healthcare provider. based in Fairfield, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 31030 (AL). The NPI Number for BENJAMIN A. DAVIDSON (M.D.) is 1629228887

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN A. DAVIDSON (M.D.)
NPI
1629228887
Phone
(205) 785-1353
Address
4614 CARNEGIE AVE
Enumeration Date
24 September 2008
Last Update Date
23 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
6599034344
Graduation Year
2008 (18 years ago)
PAC ID
7810167293
Group Practice PAC ID
1254735277
Professional Enrollment ID
I20110822000258
Address ID
AL352082715BI3209XAVEX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,756 FAMILY PRACTICE in AL

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Provider Addresses for BENJAMIN A. DAVIDSON (M.D.)

  • 4614, Carnegie Avenue, Ensley Junction, Fairfield, Jefferson County, Alabama, 35064, United States

    FAIRFIELD, AL 350641430

    Phone: (205) 785-1353

    Fax: (205) 785-3731

    Type: Mailing

  • 4614 Carnegie Ave

    Fairfield, AL 350641430

    Phone: (205) 785-1353

    Fax: (205) 785-3731

    Type: Location

  • 3209 ENSLEY 5 POINTS W AVE

    BIRMINGHAM, AL 352082715

    Phone: (659) 903-4344

    Fax: (659) 903-5944

    Type: Location

  • 102 WOODMONT BLVD STE 600

    NASHVILLE, TN 372055250

    Phone: (888) 987-1151

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-04-13 • Largest payer in this snapshot: Lilly USA, LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110822000258IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35064)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254735277View full group profile
NameSpecialtyState
Internal MedicineAL
Family PracticeLA
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL
Family PracticeAL

Reviews

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Frequently asked questions

What NPI should I save for BENJAMIN A. DAVIDSON (M.D.)?
Save NPI 1629228887 if you need a stable reference for BENJAMIN A. DAVIDSON (M.D.).
Is BENJAMIN A. DAVIDSON (M.D.) currently active in the NPI registry?
CMS-published data lists BENJAMIN A. DAVIDSON (M.D.) as an active registrant.
What does BENJAMIN A. DAVIDSON (M.D.) treat or focus on?
Patients typically see BENJAMIN A. DAVIDSON (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BENJAMIN A. DAVIDSON (M.D.)?
The snapshot lists Fairfield, Alabama for BENJAMIN A. DAVIDSON (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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