DR. ANDREW JOHN DAVIS (M.D.) – Family Medicine Physician, NPI 1932214608

DR. ANDREW JOHN DAVIS (M.D.) is a healthcare provider. based in Montgomery, Texas. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. H0285 (TX). The NPI Number for DR. ANDREW JOHN DAVIS (M.D.) is 1932214608

Main info

Male
Sole Proprietor
Name
DR. ANDREW JOHN DAVIS (M.D.)
NPI
1932214608
Phone
(936) 582-6000
Address
123 BLUE HERON DR STE 101
Enumeration Date
20 August 2006
Last Update Date
26 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. ANDREW JOHN DAVIS (M.D.)

  • 101, Blue Heron Drive, Montgomery County, Texas, 77316, United States

    MONTGOMERY, TX 773163192

    Phone: (936) 582-6000

    Fax: (936) 448-6404

    Type: Mailing

  • 143 SUGAR PINE CT

    MONTGOMERY, TX 773162472

    Phone: (936) 647-8311

    Fax: (936) 226-0147

    Type: Mailing

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: 2007-03-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070329000671IFamily PracticeTXTBD

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 77316)

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Reviews

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Frequently asked questions

What NPI should I save for DR. ANDREW JOHN DAVIS (M.D.)?
Save NPI 1932214608 if you need a stable reference for DR. ANDREW JOHN DAVIS (M.D.).
Is DR. ANDREW JOHN DAVIS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. ANDREW JOHN DAVIS (M.D.) work in?
You can think of DR. ANDREW JOHN DAVIS (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDREW JOHN DAVIS (M.D.)?
We surface Montgomery, Texas for DR. ANDREW JOHN DAVIS (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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