Gregory Wayne Davis, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1315 Issued in LA

Practice address

2121 Airline Dr # 600
Bossier City, LA 71111-3174

Phone

(318) 742-3525

Fax

(318) 742-3539

NPI assigned

Dec 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Billedeaux Hearing Center, LLC

  • Hearing and Speech Clinic/Center
  • Lafayette, LA
  • NPI 1316131808
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1023655792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 502",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "337-704-2228",
            "fax_number": "337-704-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 AIRLINE DR # 600",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113174",
            "telephone_number": "318-742-3525",
            "fax_number": "318-742-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GREGORY",
        "middle_name": "WAYNE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MS",
            "license": "HA0676",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "LA",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Elizabeth Davila, IDMT
• Ayanna Binta Davis
• Brenda Faye Davis
• Casey Glasgow Davis, P.T.
• Charles Henry Davis
• Heidi Davis
• James Davis
• Lugene Davis IV
• Myesha Davis
• Roger Davis, OD

• Hearing Instrument Specialist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Hearing Instrument Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.