JOHN WAYNE DAVIS (DO) – Family Medicine Physician, NPI 1275161473

JOHN WAYNE DAVIS (DO) is a healthcare provider. based in San diego, California. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. SL1661 (NV). The NPI Number for JOHN WAYNE DAVIS (DO) is 1275161473

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JOHN WAYNE DAVIS (DO)
NPI
1275161473
Phone
Not provided
Address
8941 GOWDY AVE
Enumeration Date
1 April 2020
Last Update Date
30 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072761131
Graduation Year
2020 (6 years ago)
PAC ID
5395159198
Group Practice PAC ID
5395100598
Professional Enrollment ID
I20241204000009
Address ID
AK995082932AN2801XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

496 FAMILY PRACTICE in AK

Provider Addresses for JOHN WAYNE DAVIS (DO)

  • 8941 GOWDY AVE

    SAN DIEGO, CA 921233458

    Phone:

    Type: Mailing

  • 2801 DEBARR RD

    ANCHORAGE, AK 995082932

    Phone: (907) 276-1131

    Type: Location

  • 1664 N Virginia St # MS 0316

    Reno, NV 895570001

    Phone: (775) 682-8648

    Type: Location

  • 1664 N VIRGINIA ST # MS 0316

    RENO, NV 895570001

    Phone: (775) 682-8648

    Type: Location

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 $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: SCPHARMACEUTICALS INC. ($41).

Total Amount

$41

General + Research + Ownership

Payments

1

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SCPHARMACEUTICALS INC.$41
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: 2024-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20231006003179IFamily PracticeNVTBD
I20240603002908IFamily PracticeCATBD
I20241204000009IFamily PracticeAKTBD

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 92123)

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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: 5395100598View full group profile
NameSpecialtyState
Internal MedicineMT
Internal MedicineDC
Internal MedicineFL
Emergency MedicineOR
Internal MedicineMI
Internal MedicineTX
Physician AssistantOR
Internal Medicine, HospitalistNY
Internal MedicineID
Physician AssistantOR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is JOHN WAYNE DAVIS (DO) listed with a National Provider Identifier?
Yes — JOHN WAYNE DAVIS (DO) has NPI 1275161473 on file in the registry.
Active or inactive — what applies to JOHN WAYNE DAVIS (DO)?
You should see JOHN WAYNE DAVIS (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to JOHN WAYNE DAVIS (DO)?
JOHN WAYNE DAVIS (DO)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN WAYNE DAVIS (DO)?
Travel planning: use San Diego, California as the reference point for JOHN WAYNE DAVIS (DO), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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