MR. JEFFREY ALAN DAVIS (NPI# 1407172240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407172240 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ALAN DAVIS |
| Credential | ATC |
| Practice Address |
300 N. Kilgore Street Kilgore TX 75662 |
| Mailing Address |
301 N Kilgore St Kilgore TX 75662-5825 |
| Practice Telephone | 9039883900 |
| Mailing Telephone | 9039850413 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0751 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902346042 | Jeffrey Samuel Davis | Durable Medical Equipment & Medical Supplies | 1357 Selbydon Way, Winter Garden, FL 34787-4652 | 2017-03-07 |
| 1609248749 | Jeffrey Davis | Pharmacist | 461 Western Blvd, Unit #122, Jacksonville, NC 28546 | 2015-10-28 |
| 1194192419 | Jeffrey Davis | Social Worker | 32 Hunting Ridge Farms Rd, Branford, CT 06405-6131 | 2015-08-24 |
| 1093141483 | Jeffrey S Davis | Technician/Technologist | 258 Corporate Dr Ste 213, Madison, WI 53714-2407 | 2013-09-18 |
| 1821433368 | Jeffrey Alan Davis | Obstetrics & Gynecology | 522 Northcrest Drive, Northcrest Center for Women's Health, Springfield, TN 37172 | 2013-05-09 |
| 1770821399 | Jeffrey William Davis | Physical Therapy Assistant | 966a Killian Hill Rd, Lilburn, GA 30047 | 2013-01-17 |
| 1144413204 | Jeffrey William Davis | Social Worker | 216 N Pratt Ave, Carson City, NV 89701-4722 | 2007-08-22 |
| 1689881385 | Jeffrey M Davis | Chiropractor | 52 Heritage Ct., Woodcliff Lake, NJ 07677 | 2007-05-16 |
| 1760507727 | Jeffrey Todd Davis | Specialist/Technologist | #1 Bobcat Lane, Hallsville, TX 75650-0810 | 2007-03-20 |
| 1861516379 | Jeffrey Thomas Davis | Behavioral Analyst | 2109 Gulf Blvd Unit 2b, Indian Rocks Beach, FL 33785-3824 | 2007-03-19 |
| Street Address |
300 N. KILGORE STREET |
| City | KILGORE |
| State | TX |
| Zip Code | 75662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890621 | Linda Gail Watson | Technician | 190 Glendale St, Kilgore, TX 75662 | 2019-09-18 |
| 1174185151 | Jennifer Darlene Franks | Registered Nurse | 6144 Gateway Center Pmb # 320, Kilgore, TX 75662 | 2019-07-01 |
| 1215363312 | Kilgore Integrated Health Pllc | Chiropractor | 726 Us Highway 259 N, Kilgore, TX 75662 | 2013-09-20 |
| 1396923777 | Rachel Thunder Rose Wyatt | Physical Therapist | 1200 Dudley Road, Kilgore, TX 75662 | 2008-02-07 |
| 1346313673 | Brookshire Grocery Company | Pharmacy | 747 Hwy 259 North, Attention Pharmacy Dept, Kilgore, TX 75662 | 2006-11-16 |
| 1417026451 | Jeffery John Pinkerton | Optometrist | 800 Highway 259 North, Kilgore, TX 75662 | 2006-11-06 |
| 1831205004 | Joseph Claude De Graffenried Jr. | Dentist | 238 Lawrence St, Kilgore, TX 75662 | 2006-08-21 |
| 1235159500 | Charles Robert Cottier | Chiropractor | 316 Henderson, Kilgome, TX 75662 | 2006-07-20 |
| 1346509494 | Kelton Hospice, Inc. | Hospice Care, Community Based | 1100 Stone Road, Suite 269, Kilgore, TX 75662 | 2012-05-10 |
| 1245387778 | Behavioral Emotional Counseling Services | Counselor | 1100 Stone Road, Suite 102, Kilgore, TX 75662 | 2007-01-05 |
| Find all providers in zip 75662 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1033129416 | William David Anderson Jr. | Specialist/Technologist | 1100 Broadway Blvd, Kilgore, TX 75662-3204 | 2006-08-09 |
| 1417086141 | Darrell Layne Ganus | Specialist/Technologist | 301 N Kilgore St, Kilgore, TX 75662-5825 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| 1588270953 | Aaron Gibson | Specialist/Technologist | 427 W Rieck Rd Apt 231, Tyler, TX 75703-3672 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.