MR. ANTHONY DAVIS (NPI# 1174935076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174935076 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY DAVIS |
| Credential | M.S., L.P.C. |
| Practice Address |
198 Bellegrove Cir Brandon MS 39047 |
| Mailing Address |
198 Bellegrove Cir Brandon MS 39047-6629 |
| Practice Telephone | 6012017639 |
| Mailing Telephone | 6012017639 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1863 | MS | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 W Woodrow Wilson Ave, Suite 611, Jackson, MS 392137681 | 6018151180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083015093 | Anthony Davis | Marriage & Family Therapist | 1016 N Hudson Ave Apt 1, Los Angeles, CA 90038-2539 | 2014-09-09 |
| 1154546166 | Anthony C Davis | Psychiatry & Neurology | 220 N Phoenix Ave, Russellville, AR 72801-2826 | 2007-04-16 |
| 1376629923 | Anthony Eugene Davis | Counselor | 269 S Highland Ave, Prestonsburg, KY 41653-1909 | 2006-10-27 |
| 1962446898 | Anthony Dewayne Davis | Family Medicine | 1379 Brad Circle Ste A, Lindale, TX 75771 | 2006-06-14 |
| 1346840352 | Anthony Davis | Pharmacist | 101 E Redd Rd, El Paso, TX 79932-1981 | 2020-10-28 |
| 1629680178 | Anthony Kyle Davis | Pharmacist | 13450 S Blackbob Rd, Olathe, KS 66062-1503 | 2020-08-17 |
| 1144733387 | Anthony Lee Davis | Physical Therapy Assistant | 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170-6224 | 2017-11-09 |
| 1124566435 | Anthony Kyle Davis | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2017-02-07 |
| 1235687039 | Anthony Davis | Home Health Aide | 6856 Eastern Ave Nw, Washington, DC 20012-2165 | 2016-09-21 |
| 1144683814 | Anthony Davis | Counselor | 895 Blue Hill Ave, Boston, MA 02124-2902 | 2016-03-31 |
| Street Address |
198 BELLEGROVE CIR |
| City | BRANDON |
| State | MS |
| Zip Code | 39047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| 1972530632 | Claudia Weir Anthony | Nurse Practitioner | 1887 Spillway Rd, Brandon, MS 39047 | 2006-06-27 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910281 | Julie Magee Powell | Counselor | 121 Sweetgum Rd N, Brandon, MS 39047-6235 | 2020-10-19 |
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1457826703 | Cali Foreman | Counselor | 300 N Grove Cir, Brandon, MS 39047-6738 | 2018-10-12 |
| 1851880470 | Antwynette Brinkley Shields | Counselor | 32103 Majesty Ln, Brandon, MS 39042-2599 | 2018-05-09 |
| 1487162608 | Ruby J Jackson | Counselor | 302 Azalea Ct, Brandon, MS 39047-7952 | 2018-01-22 |
| 1538677299 | Tamara Coleman | Counselor | 2012 Brookstone Pl, Brandon, MS 39042-2959 | 2018-01-16 |
| 1619486149 | Lindsey A Lemmon | Counselor | 682 Parker Pl, Brandon, MS 39042-8493 | 2017-09-27 |
| 1750816971 | Joshua Williams | Counselor | 129 Post Oak Dr, Brandon, MS 39047-7299 | 2017-04-25 |
| 1467824474 | Jo Allison Hebert | Counselor | 400 Grants Ferry Rd, Brandon, MS 39047-9036 | 2015-10-29 |
| 1083964811 | Sally A Cochran Lmhc Pa | Counselor | 1210 Millennium Parkway, Suite 1034, Brandon, FL 33511-4858 | 2012-09-19 |
| Find all providers in BRANDON | ||||
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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.