Active NPI
Lamar Davis II, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 307056
- Practice address
- 2500 N State St
Jackson, MS 39216 - Phone
- (601) 984-5275
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 20797 | MS | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 307056 | LA | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216
Mailing address
2500 N State St
Jackson, MS 39216-4505
Phone (601) 984-5275
Other practice location 1
1315 Jefferson Hwy
New Orleans, LA 70121-2406
Phone (504) 842-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03122859 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110707000119 | MS | Practitioner - Neurology | 3779761119 | Reassigns benefits to 3 organizations |
| I20171010003519 | LA | Practitioner - Neurology | 3779761119 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Mississippi School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (11 of 22)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients |
Locations
1315 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-5200
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
14055 Seaway Rd
Gulfport, MS 39503
Phone (228) 868-5555
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
2500 N State St
Ste 2525
Jackson, MS 39216
Phone (601) 984-6441
2470 Flowood Dr
Jackson, MS 39232
Phone (601) 291-1407
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
Networks
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- LA PPO C-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- TN PPO C-SNP
- MS PPO
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- MS PPO C-SNP
- TN PPO
- MS PPO D-SNP
Interoperability endpoints
- https://soapproxy.umc.edu/FHIRProxy/api/FHIR/R4/
- ldavis10933@ummc.direct-ci.com
Organizations & group practices 32
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
MS
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Rural Health Clinic/Center
- West, MS
- NPI 1194738393
-
- General Acute Care Hospital
- Canton, MS
- NPI 1194770404
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1225800428
-
- Clinic/Center
- Jackson, MS
- NPI 1245818301
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295507333
-
- Medicare Defined Swing Bed Hospital Unit
- Canton, MS
- NPI 1326075193
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1336911536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1003006206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164505",
"telephone_number": "601-984-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-5275"
}
],
"practiceLocations": [
{
"address_1": "1315 Jefferson Hwy",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701212406",
"country_code": "US",
"telephone_number": "504-842-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "LAMAR",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MS",
"license": "20797",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "LA",
"license": "307056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03122859",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.