DAVIS ANDREW WOOD (DO) – Emergency Medicine Physician, NPI 1124654157

DAVIS ANDREW WOOD (DO) is a healthcare provider. based in Orange park, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS19226 (FL). The NPI Number for DAVIS ANDREW WOOD (DO) is 1124654157

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DAVIS ANDREW WOOD (DO)
NPI
1124654157
Phone
(904) 639-2000
Address
2001 KINGSLEY AVE
Enumeration Date
21 March 2020
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292594678
Graduation Year
2020 (6 years ago)
PAC ID
2466814157
Group Practice PAC ID
4880850775
Professional Enrollment ID
I20230811001729
Address ID
GA317926614TH915XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DAVIS ANDREW WOOD (DO)

  • 2001 KINGSLEY AVE

    ORANGE PARK, FL 320735148

    Phone: (904) 639-2000

    Fax: (904) 639-2015

    Type: Location

  • GORDON AVE. AT, MIMOSA DR.

    THOMASVILLE, GA 31792

    Phone: (229) 228-2000

    Type: Location

  • 2001 Kingsley Ave

    Orange Park, FL 320735148

    Phone: (904) 639-2000

    Fax: (904) 639-2015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230811001729IEmergency MedicineGATBD
I20240306004212IEmergency MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making132125$0
99284Emergency department visit with moderate level of medical decision making1919$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 4880850775View full group profile
NameSpecialtyState
Emergency MedicineGA
Hospitalist, Internal MedicineWI
Emergency MedicineVA
-FL
Emergency MedicineOH
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineNY
Emergency Medicine, Family PracticeFL
Emergency MedicineGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVIS ANDREW WOOD (DO)?
DAVIS ANDREW WOOD (DO) — NPI 1124654157 — is the standard way to identify this listing.
Can I rely on DAVIS ANDREW WOOD (DO) being an active provider?
As of the registry snapshot, DAVIS ANDREW WOOD (DO) is marked active.
What is DAVIS ANDREW WOOD (DO)'s specialty?
The listing groups DAVIS ANDREW WOOD (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DAVIS ANDREW WOOD (DO) on a map?
Expect Orange Park, Florida as a primary anchor for DAVIS ANDREW WOOD (DO) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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