DR. JOHN D DAVIS IV (NPI# 1083660732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083660732 |
| Entity Type | Individual |
| Full Name | DR. JOHN D DAVIS IV |
| Credential | M.D. |
| Practice Address |
2470 Flowood Drive Flowood MS 39232 |
| Practice Telephone | 6019360400 |
| Practice Fax Number | 6019360401 |
| Mailing Telephone | 8775544257 |
| Mailing Fax Number | 6019832845 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2009-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 16339 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | 140007830 | 01 |
| MS | AETNA | 5385608 | 01 |
| MS | 00126895 | 05 | |
| MS | UHC | 630027 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905808 | John Howard Davis | Peer Specialist | 540 W Wallace St, Shawnee, OK 74801-5722 | 2020-06-04 |
| 1740811488 | John Leslie Davis | Pharmacist | 5208 Ellen Jayne Way, Midland, TX 79707-1613 | 2020-01-31 |
| 1114402161 | John A Davis | Hearing Instrument Specialist | 216 Phoenix Ct Ste C, Seymour, TN 37865-3914 | 2018-09-26 |
| 1790273720 | John Patrick Davis | Counselor | 10 E New York Ave Ste 1, Somers Point, NJ 08244-2367 | 2018-04-25 |
| 1154821049 | John Davis | Case Manager/Care Coordinator | 627 Bailey Chapel Rd, Piketon, OH 45661-9675 | 2018-02-16 |
| 1619487386 | John E Davis | Counselor | 8101 Shaffer Pkwy Ste 102, Littleton, CO 80127-4108 | 2017-10-06 |
| 1093234684 | John Davis | Dentist | 7100 Highway 98, Suite 210, Hattiesburg, MS 39402-8601 | 2017-09-14 |
| 1306384276 | John Chase Davis | Behavior Technician | 8315 6th Pl Se, Lake Stevens, WA 98258-3688 | 2017-02-10 |
| 1598170276 | John Davis | Licensed Practical Nurse | 10271 Dresden Rd, Dresden, OH 43821-9446 | 2014-06-21 |
| 1396174751 | John Davis Sr. | Registered Nurse | 339 Kings Ridge Blvd, O Fallon, IL 62269-6327 | 2013-11-06 |
| Street Address |
2470 FLOWOOD DRIVE |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437102597 | Eric W Amundson | Neurological Surgery | 2470 Flowood Drive, Flowood, MS 39232 | 2006-05-18 |
| 1851541643 | Dale Durden Pillow | Physical Therapist | 2470 Flowood Drive, Flowood, MS 39232 | 2008-09-29 |
| 1154584019 | Karan Lynn Redditt | Physical Therapist | 2470 Flowood Drive, Flowood, MS 39232 | 2008-07-09 |
| 1699946863 | Grace Kim Guillory | Registered Nurse | 2470 Flowood Drive, Flowood, MS 39232 | 2008-03-17 |
| 1326222548 | Newsouth Neurospine, LLC. | Anesthesiology | 2470 Flowood Drive, Flowood, MS 39232 | 2007-12-24 |
| 1508906629 | Alice F Messer | Nurse Practitioner | 2470 Flowood Drive, Flowood, MS 39232 | 2007-02-07 |
| 1902991219 | Rahul Vohra | Physical Medicine & Rehabilitation | 2470 Flowood Drive, Flowood, MS 39232 | 2006-10-03 |
| 1033203799 | Deborah Lane Hall | Registered Nurse | 2470 Flowood Drive, Flowood, MS 39232 | 2006-10-03 |
| 1366536070 | Amy Leeann Savell | Registered Nurse | 2470 Flowood Drive, Flowood, MS 39232 | 2006-10-03 |
| 1497849160 | Jill Chennault Murphy | Registered Nurse | 2470 Flowood Drive, Flowood, MS 39232 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710997135 | Edward Thomas Cullom IIi | Neurological Surgery | 1029 River Oaks Dr, Flowood, MS 39232-9554 | 2006-08-08 |
| 1437102597 | Eric W Amundson | Neurological Surgery | 2470 Flowood Drive, Flowood, MS 39232 | 2006-05-18 |
| 1083054498 | Kelsey Angeline Walsh | Neurological Surgery | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2013-06-29 |
| 1093032542 | Matthew Arrington Vanlandingham | Neurological Surgery | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2010-04-23 |
| 1326294158 | E Thomas Cullom IIi Md Pllc | Neurological Surgery | 1029 River Oaks Dr, Flowood, MS 39232-9554 | 2008-08-12 |
| 1326116112 | Mississippi Neurosurgery and Spine Center,pllc | Neurological Surgery | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2006-12-01 |
| 1841224367 | Philip A Azordegan | Neurological Surgery | 2470 Flowood Drive, Flowood, MS 39232 | 2006-07-10 |
| 1154355642 | John C Neill | Neurological Surgery | 2470 Flowood Drive, Flowood, MS 39232 | 2006-07-10 |
| 1437105194 | John L Moriarity | Neurological Surgery | 2470 Flowood Drive, Flowood, MS 39232 | 2006-05-25 |
| 1629024401 | Walton Lynn Stringer | Neurological Surgery | 2470 Flowood Drive, Flowood, MS 39232 | 2006-05-25 |
| Find all providers in FLOWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.