Individual provider

Warren Davidson, D.O.

Pediatric Emergency Medicine (Pediatrics) Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Warren Davidson, D.O. is a Pediatric Emergency Medicine (Pediatrics) Physician in Jacksonville, FL, registered under NPI 1790948164. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 800 PRUDENTIAL DR, Jacksonville, FL 32207. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

800 PRUDENTIAL DR, Jacksonville, FL 32207 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OS12714 FL Pediatric Emergency Medicine (Pediatrics)… primary
34010306 OH Pediatric Emergency Medicine (Pediatrics)…

Licences are recorded in 2 states: FL, OH. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
4587839055
Enrollment ID
I20140711001273

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Ohio. The practice address on file is in Jacksonville, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
OS12714
Specialty
Pediatric Emergency Medicine…
Verify with the FL board →
OH Ohio
Licence
34010306
Specialty
Pediatric Emergency Medicine…
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Emergency Medicine covers

A pediatrician who has special qualifications to manage emergencies in infants and children. NUCC Health Care Provider Taxonomy, code 2080P0204X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Emergency Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Pediatric Emergency Medicine OS12714 FL primary
390200000X Student in an Organized Health Care Education/Training Program
2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Pediatric Emergency Medicine 34010306 OH

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790948164 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 7, 2008
Last updatedNov 18, 2015
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 202-9000
Mailing address 21 CAMERON DR
Ponte Vedra, FL 32081
Other identifiers 0057305 · Medicaid (OH)
This record was last updated on Nov 18, 2015, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1790948164 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 9 4 8 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 9 4 7 1 3

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790948164?
NPI 1790948164 is the National Provider Identifier assigned to Warren Davidson, D.O. in Jacksonville, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Emergency Medicine cover?
A pediatrician who has special qualifications to manage emergencies in infants and children.
How do I contact Warren Davidson, D.O.?
The phone number on file with NPPES is (904) 202-9000, last updated Nov 18, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Warren Davidson, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790948164 a valid number?
Yes. 1790948164 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.