Edna F Davis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M14539 Issued in MS

Practice address

2007 Oak Tree Cove
Suite 201
Hernando, MS 38632

Phone

(662) 429-8802

Fax

(662) 429-8698

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edna Davis Wilkerson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• E D Medical Care

  • Point of Service
  • Hernando, MS
  • NPI 1609934272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1003829680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 OAK TREE COVE",
            "address_2": "SUITE 201",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "38632",
            "telephone_number": "662-429-8802",
            "fax_number": "662-429-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 OAK TREE COVE",
            "address_2": "SUITE 201",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "38632",
            "telephone_number": "662-429-8802",
            "fax_number": "662-429-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EDNA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "M14539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07288289",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDNA",
            "last_name": "WILKERSON",
            "middle_name": "DAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Counseling at the Well, LLC
• Jessica Holt Cox, DDS,MSD
• Lauren Cox
• Erik Dalgleish, PTA
• Rosalyn Daniels
• Kiara Antoinette Davis, OTR/L
• Tiffany Ryshone Davis
• Timothy G. Davis, FNP-C
• Dental Professionals of Mississippi, P.C.
• Desoto County Board of Supervisors

• All providers in Hernando, MS
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.