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

Shane Robert Davis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134655673

Shane Robert Davis, MD is an Emergency Medicine in Richmond, Virginia. Graduated from University of South Carolina School of Medicine in 2017, 9 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Trained at
University of South Carolina School of Medicine
Licensed in
VA
In the registry since
2017
Specialties on file
2
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

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone: (301) 335-6970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 E Marshall St, Richmond, VA 23298-5051 — (804) 828-4860

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101266115 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134655673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020
Mailing address1602 Skipwith Rd, Richmond, VA 23229-5205

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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