Charles S. Davidson, MED.,ATC.,CSCS.,CEAS
NPI 1891985438ActiveIndividual· Rehabilitation Practitioner· Conway, AR
Rehabilitation Practitioner (MED.,ATC.,CSCS.,CEAS) in Conway, Arkansas, licensed in AR, with an NPI issued in July 2007.
Overview
| NPI | 1891985438 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MED.,ATC.,CSCS.,CEAS |
| Sole proprietor | Yes |
| NPI issued | Jul 30, 2007 |
| Last updated in NPPES | Jul 30, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AT120 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|