John D Davis IV, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

16339 Issued in MS

Practice address

2470 Flowood Drive
Flowood, MS 39232

Phone

(601) 936-0400

Fax

(601) 936-0401

NPI assigned

May 25, 2006

Sex

Male

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 4

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Neurosurgery

Education

Johns Hopkins University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newsouth Neurospine, LLCGroup PAC ID 2163591579, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 4)

Locations

Networks

• LA PPO C-SNP

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.

• Newsouth Neurospine, LLC.

  • Neurological Surgery Physician
  • Flowood, MS
  • NPI 1326222548
  Medicare reassignment Care Compare group NPD
• Newsouth Neurospine, LLC

  • Pain Clinic/Center
  • Flowood, MS
  • NPI 1770743031
  NPD
• Mississippi Neurosurgery and Spine Center,PLLC

  • Neurological Surgery Physician
  • Flowood, MS
  • NPI 1326116112
  NPD (past)

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

• Baptist Memorial Hosp Oktibbeha County Inc.

  • Rural Acute Care Hospital
  • Starkville, MS
  • NPI 1346112521
  Care Compare affiliation
• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation
• River Oaks Hospital LLC

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1083660732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-936-0400",
            "fax_number": "601-936-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "16339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126895",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "630027",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140007830",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5385608",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Davidson, M.D.
• Davis Therapeutic Services LLC
• Chad Thomas Davis, FNP
• Chasity Davis, LCSW
• Jada K Davis, NP
• Lelouise Tindall Davis, FNP
• Martin Davis, LPC
• Shameika Davis, LCSW
• Wesley Young Davis, MS
• John Brandon Dawson III, O.D.

• Neurological Surgery Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Neurological Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.

Verify at the official NPI Registry.