Individual provider Active NPI

Kevin Allen Davis, M.D.

  • Infectious Disease Physician
  • Fort Smith, AR
National Provider Identifier
1033452990
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
E-10206 Issued in AR
Practice address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone
(501) 593-3845
NPI assigned
Mar 29, 2013
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X E-10206 AR Primary
Pediatrics Physician 208000000X E-10206 AR

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903-4100

Mailing address

4301 W Markham St
Little Rock, AR 72205-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181114002708 AR Practitioner - Internal Medicine 7618294976 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-10206ARMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Mar 1, 2023 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Hospital Ozark CurrentSince May 20, 2019 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Dec 25, 2019 Accepting new patients
Baxter County Regional Hospital Inc Current Accepting new patients
Arkansas Children's Hospital CurrentSince Sep 12, 2018 Accepting new patients
Mercy Hospital Paris CurrentSince May 20, 2019 Accepting new patients
Baxter County Regional Hospital, Inc Pediatrics CurrentSince Dec 25, 2019 Accepting new patients
Arkansas Childrens Hospital Pediatrics CurrentSince Sep 12, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 18, 2024 Accepting new patients
Mercy Hospital Booneville CurrentSince Jul 1, 2019 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Paris CurrentSince May 20, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 20, 2019 Accepting new patients
Mercy Hospital Ozark CurrentSince May 20, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 20, 2019 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Booneville CurrentSince Jul 1, 2019 Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients

Locations

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

10 Medical Plz
Mountain Home, AR 72653
Phone (870) 219-0428

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1033452990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "501-593-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KEVIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AR",
            "license": "E-10206",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-10206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.