MR. JOHN J DAVIS (NPI# 1487854295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487854295 |
| Entity Type | Individual |
| Full Name | MR. JOHN J DAVIS |
| Credential | A.T.,C. |
| Practice Address |
3688 Veterans Memorial Dr Hattiesburg MS 39401-8246 |
| Practice Telephone | 6015430221 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0069 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
3688 VETERANS MEMORIAL DR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-8246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906157 | Southern Surgery Center, LLC | Clinic/Center | 3688 Veterans Memorial Dr, Suite 100, Hattiesburg, MS 39401-8246 | 2005-07-19 |
| 1548883200 | Emily Mcdermott | Physical Therapist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2020-05-28 |
| 1851924013 | Melissa Ann Ezelle | Registered Nurse | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2020-02-17 |
| 1932607132 | Kerri Michelle Easterling | Occupational Therapist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2018-01-23 |
| 1174980213 | Marshall Bynum | Physician Assistant | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2016-01-20 |
| 1356546295 | Southern Bone& Joint Specialists | Specialist | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2007-06-20 |
| 1295937928 | John Herrington Kosko | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2007-06-04 |
| 1952523607 | Frederick O'neal Gregg | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 | 2007-05-03 |
| 1912033291 | Sunbelt Rehabilitation Systems, LLC | Clinic/Center | 3688 Veterans Memorial Dr, Suite 300, Hattiesburg, MS 39401-8246 | 2007-02-23 |
| 1538246921 | Benjamin M Yelverton | Physician Assistant | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| 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 |
|---|---|---|---|---|
| 1942817895 | Thaxton Sullivan | Specialist/Technologist | 3 Courtland Dr Apt 50, Hattiesburg, MS 39402-8186 | 2020-09-24 |
| 1396225025 | Leslie Oglesby | Specialist/Technologist | 118 College Dr # 5122, Hattiesburg, MS 39406-0001 | 2018-08-21 |
| 1629556907 | Samuel Trent Morris | Specialist/Technologist | 221 Pine Ln, Hattiesburg, MS 39402-9213 | 2018-07-30 |
| 1154809457 | Alexandra C Flint | Specialist/Technologist | 12 Park Pl Apt 188f, Hattiesburg, MS 39402-1481 | 2018-07-30 |
| 1588152029 | Zachary Russell Walker | Specialist/Technologist | 820 Johnson Ave, Hattiesburg, MS 39402-2721 | 2018-04-30 |
| 1427559731 | Regan Ashley Nicholson I | Specialist/Technologist | 118 College Dr., Hattiesburg, MS 39406 | 2018-02-22 |
| 1154838183 | Amanda Mcbride | Specialist/Technologist | 25 Dunleith Ct, Hattiesburg, MS 39402-8866 | 2017-12-29 |
| 1477065779 | Evan Denoux | Specialist/Technologist | 216 Westover Dr Apt 17d, Hattiesburg, MS 39402-1375 | 2017-10-26 |
| 1326560319 | Shanickwa Jackson | Specialist/Technologist | 7 Lakewood Dr, Hattiesburg, MS 39402-9425 | 2017-07-11 |
| 1619406196 | Courtney Nicole Dossett | Specialist/Technologist | 807 Pineview Dr, Hattiesburg, MS 39401-7460 | 2017-06-08 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.