Glen Davis, M.D.
NPI 1689617813 · Internal Medicine Physician · Lake Mary, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glen Davis, M.D. is a Internal Medicine Physician provider in Lake Mary, FL (NPI 1689617813).
Provider details
- NPI number
- 1689617813
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME37813 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2007-08-20
Frequently asked questions
- What is Glen Davis's NPI number?
- Glen Davis's National Provider Identifier (NPI) is 1689617813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Davis's specialty?
- Glen Davis is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Glen Davis located?
- Glen Davis's practice location on file with NPPES is 4106 W Lake Mary Blvd, Lake Mary, FL 32746-3315.
- What is Glen Davis's phone number?
- The practice phone number listed in the NPPES registry for Glen Davis is (407) 333-2503.
- Does Glen Davis accept Medicare?
- Glen Davis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glen Davis's NPI active?
- Yes — Glen Davis's NPI (1689617813) is active in the NPPES registry as of the last update on 2007-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.