CHARLES O DAVIS (PA) – Physician Assistant, NPI 1851795892

CHARLES O DAVIS (PA) is a healthcare provider. based in Galion, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.004153 (OH). The NPI Number for CHARLES O DAVIS (PA) is 1851795892

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES O DAVIS (PA)
NPI
1851795892
Phone
(419) 468-0505
Address
269 PORTLAND WAY SOUTH
Enumeration Date
20 October 2014
Last Update Date
29 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4097098640
Graduation Year
2014 (12 years ago)
PAC ID
2668694357
Group Practice PAC ID
5496737439
Professional Enrollment ID
I20141113000525
Address ID
OH449061267MA2981XSTXX400

Contacts

Secure Messaging
cdavis478321@direct.osumc.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for CHARLES O DAVIS (PA)

  • 269 PORTLAND WAY SOUTH

    GALION, OH 44833

    Phone: (419) 468-0505

    Fax: (419) 468-2381

    Type: Mailing

  • 955 HOSFORD RD

    GALION, OH 44833

    Phone: (419) 468-7059

    Fax: (419) 468-6962

    Type: Location

  • 700 N COLUMBUS ST

    CRESTLINE, OH 448271455

    Phone: (419) 468-0505

    Fax: (419) 468-2381

    Type: Mailing

  • 2981 W 4TH ST

    ONTARIO, OH 449061267

    Phone: (419) 709-8640

    Fax: (419) 709-8641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $712.

Total Amount is formed as General ($712) + Research ($0) + Ownership ($0) = $712.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($393).

Total Amount

$712

General + Research + Ownership

Payments

48

Total payment records

General Amount

$712

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20141113000525IPhysician AssistantOH2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 44833)

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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: 5496737439View full group profile
NameSpecialtyState
Internal MedicineOH
-OH
Nurse PractitionerOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH
Physician AssistantOH
Internal Medicine, Pediatric MedicineOH
-OH

Reviews

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Frequently asked questions

How do payers reference CHARLES O DAVIS (PA)?
For CHARLES O DAVIS (PA), use NPI 1851795892 as the unique 10-digit identifier.
Is CHARLES O DAVIS (PA) shown as active in public data?
Registry records indicate CHARLES O DAVIS (PA) maintains an active NPI.
How would a patient describe CHARLES O DAVIS (PA)'s focus?
For CHARLES O DAVIS (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Ohio is CHARLES O DAVIS (PA) registered?
Use Galion, Ohio as the headline location for CHARLES O DAVIS (PA) here.
Can I trust this NPI listing for CHARLES O DAVIS (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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