Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Rae Davis, MD

Individual provider Pediatrics Physician · NPI 1801121108

Carly Rae Davis, MD is a Pediatric Medicine in Riverton, Utah. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2008, 18 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
18
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
AZ, UT
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12391 S 4000 W
Riverton, UT 84096-7012
Phone: (801) 302-1700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 7996415-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence R70650 (AZ)
Pediatric Infectious Diseases Physician Taxonomy 2080P0208X · Licence 7996415-1205 (UT)

Record details

NPI number1801121108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2009
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address12391 S 4000 W, Riverton, UT 84096-7012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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