Michelle Mireille Davis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14461R Issued in LA

Practice address

4224 Houma Blvd Ste 350
Metairie, LA 70006-2980

Phone

(504) 780-9112

Fax

(314) 536-8784

NPI assigned

Feb 1, 2006

Sex

Female

Sole proprietor

Yes

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.

• Michelle M. Davis, LLC

  • Family Medicine Physician
  • Kenner, LA
  • NPI 1760504120

  Family Medicine, LA

  Medicare reassignment NPD Authorized official
• Christopher D Naquin MD Apmc

  • Family Medicine Physician
  • Kenner, LA
  • NPI 1316099476

  Family Medicine

  NPD (past)
• Kenner Physician Associates, LLC

  • Pediatrics Physician
  • Kenner, LA
  • NPI 1295887149
  NPD (past)
• Wendy V. Jamison, MD, Apmc

  • Neuromusculoskeletal Medicine & OMM Physician
  • Metairie, LA
  • NPI 1720352388
  NPD (past)

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

• Guardian Hospice, Inc

  • Community Based Hospice Care Agency
  • Metairie, LA
  • NPI 1982694295

  Hospice

  Care Compare affiliation
• Ochsner Medical Center - Kenner, L.L.C.

  • General Acute Care Hospital
  • Kenner, LA
  • NPI 1710097936

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guardian Angel Hospice Hospice, Metairie, LA, CCN 191575
• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
• Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274

Medicare fee-for-service enrollment

Enrolled in LA

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.davis@1515685019652.direct.elationemr.com
• Direct secure messaging: michelle.m.davis@direct.lumeris.com

• Miss Michelle Mireille Modinger Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2019.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1104898576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 350",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062980",
            "telephone_number": "504-780-9112",
            "fax_number": "314-546-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 350",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062980",
            "telephone_number": "504-780-9112",
            "fax_number": "314-536-8784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Esplanade Ave",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700652489",
            "country_code": "US",
            "telephone_number": "504-712-7000",
            "fax_number": "504-712-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "middle_name": "MIREILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "14461R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123684",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MODINGER",
            "middle_name": "MIREILLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallorie Davis
• Marcus Samuel Davis, MD
• Maureen Anne Davis, LMT
• Maya Makayla Davis I
• Michael Prentice Davis, MD
• Nancy Lynn Davis, RAC
• Rayanda Davis
• Robert W Davis Jr., PSY. D.
• Tanesha Ann Davis
• Ty Anthony Davis

• All providers in Metairie, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.