DEMETRIA LEONARD DAVIS


Address: 6100 Primacy Pkwy, Suite 112, Memphis, TN 38119-0705
Phone: 9016825335

DEMETRIA LEONARD DAVIS (NPI# 1699774539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699774539
Entity Type Individual
Full Name DEMETRIA LEONARD DAVIS
Credential PA-C
Practice Address 6100 Primacy Pkwy
Suite 112
Memphis
TN 38119-0705
Practice Telephone 9016825335
Practice Fax Number 9016825440
Mailing Telephone 9016825335
Mailing Fax Number 9016825440
Enumeration Date 2005-07-21
Last Update Date 2011-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA1876 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 1522983 05

Other Providers DEMETRIA DAVIS

NPI Name Taxonomy Address Enumeration
1649884503 Demetria M Davis Licensed Vocational Nurse 5204 Trail Lake Dr, Fort Worth, TX 76133-1929 2020-09-08
1376063800 Demetria Davis Social Worker 101 Cowardin Ave Ste 101b, Richmond, VA 23224-2078 2017-06-26

Office Location

Street Address 6100 PRIMACY PKWY
SUITE 112
City MEMPHIS
State TN
Zip Code 38119-0705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821389784 Erin B Meredith Registered Nurse 6100 Primacy Pkwy, Suite 105, Memphis, TN 38119-0705 2011-04-27
1437449170 Memphis Pain Management Group, PC Chiropractor 6100 Primacy Pkwy, Suite 112, Memphis, TN 38119-0705 2011-04-14
1134450307 Robert Larry Smith Nurse Practitioner 6100 Primacy Pkwy, Suite 112, Memphis, TN 38119-0705 2010-01-27
1528172368 Russell D. Radican Chiropractor 6100 Primacy Pkwy, Suite 105, Memphis, TN 38119-0705 2006-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417469628 Jojuan Fullwiley Behavioral Analyst 6685 Quince Rd Ste 116, Memphis, TN 38119 2017-10-27
1336675297 Jill Budynas Depriest Counselor 5583 Murray Ave Ste 203, Memphis, TN 38119 2017-05-11
1396279220 Glen Matthew Stamps Jr. Counselor 5583 Murray Ave Ste 207, Memphis, TN 38119 2017-04-18
1598117442 Hazel Aberdeen Chiropractor 1911 Memphis Tennessee, Memphis, TN 38119 2016-07-04
1831569060 E-c-t Non Emergency Medical Transport Non-emergency Medical Transport (VAN) 6869 Woodlake Dr, Memphis, TN 38119 2015-09-30
1053781617 Astrid Roman Dietitian, Registered 8020 Hillside Cv, Memphis, MS 38119 2015-09-25
1467857664 Allan Jacob Katz Counselor 5668 Rex Rd, Suite 104, Memphis, TN 38119 2014-10-30
1962836015 Judy Ann Harrick Acupuncturist 5575 Poplar Ave., #702, Memphis, TN 38119 2013-08-26
1366791949 Jennifer Denyes Bidelman Audiologist 5625 Poplar Avenue, Memphis, TN 38119 2012-08-29
1578833620 Elizabeth Mary Dion-douglass Pharmacist 2891 Kirby Parkway, Memphis, TN 38119 2012-01-06
Find all providers in zip 38119

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235737354 Adrienne Smith Physician Assistant 5200 Park Ave Ste 100, Memphis, TN 38119-3505 2020-10-12
1134734817 Siushan Tang Vuong Physician Assistant 102 Clark Pl Apt S, Memphis, TN 38104-2419 2020-09-10
1174137525 Gustavo Adolfo Tangarife Sr. Physician Assistant 2193 Morning Vista Dr, Memphis, TN 38134-6018 2020-09-02
1053949586 Michella Glenna Douglas Physician Assistant 3911 Oak Branch Cir W, Memphis, TN 38135-0213 2020-03-30
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1306480868 Lauren Blum Physician Assistant 100 S Greer St, Memphis, TN 38111-3429 2019-10-28
1487135463 Baron Surgical, Pllc Physician Assistant 4728 Spottswood Ave # 199, Memphis, TN 38117-4817 2018-08-27
1083139265 Huda Alaeddin Physician Assistant 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 2017-08-08
1982076246 Richard Randolph Physician Assistant 1094 River Isle Dr, Memphis, TN 38103-8870 2015-10-27
1962870808 Sophia Garrison Physician Assistant 4562 Poplar Ave Ste 109, Memphis, TN 38117-7515 2015-09-09
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38119

Improve Information

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Dataset Information

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.

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