DERICK C DAVIS – Physical Medicine & Rehabilitation Physician, NPI 1821626052
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
314 PHYSICAL MEDICINE AND REHABILITATION in GA
Provider Addresses for DERICK C DAVIS
152 COLOR CIR
ATLANTA, GA 303172538
Phone: (573) 639-3308
Type: Mailing
5555 PEACHTREE DUNWOODY RD STE G65
ATLANTA, GA 303421710
Phone: (404) 843-3323
Fax: (404) 574-5944
Type: Location
2301 HOLMES ST
KANSAS CITY, MO 641082640
Phone: (816) 404-4175
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $3,767.
Total Amount is formed as General ($3,767) + Research ($0) + Ownership ($0) = $3,767.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($1,491).
Total Amount
$3,767
General + Research + Ownership
Payments
40
Total payment records
General Amount
$3,767
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,491 |
| Medtronic, Inc. | $1,384 |
| PAINTEQ LLC | $650 |
| BIOTRONIK NRO, Inc. | $163 |
| SI-BONE, INC. | $48 |
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: 2025-10-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251029002663 | I | Physical Medicine And Rehabilitation | GA | TBD |
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.
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 30317)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | GA | |
| Nurse Practitioner | GA | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA |
Reviews
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