Individual provider Active NPI

John Allen Davis Jr., MD

  • Orthopaedic Surgery Physician
  • Slidell, LA
National Provider Identifier
1104918879
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
019868 Issued in LA
Practice address
995 Robert Blvd
Slidell, LA 70458-2009
Phone
(985) 520-0909
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 019868 LA Primary

Addresses

Primary practice location

995 Robert Blvd
Slidell, LA 70458-2009

Mailing address

PO Box 1224
Slidell, LA 70459-1224

Other identifiers 1

IdentifierTypeStateIssuer
1384925MedicaidLA

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000010 LA Practitioner - Orthopedic Surgery 1759324056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradigm Health SystemGroup PAC ID 7012162464, 36 clinicians
Kindl Works LLCGroup PAC ID 6204124605, 5 clinicians

Practice addresses (Care Compare)

110 Veterans Blvd
Suite 325
Metairie, LA 70005-4961
Phone (504) 831-6760

1810 Lindberg Dr
Suite 2400
Slidell, LA 70458-8160
Phone (985) 326-8614

Hospital & facility affiliations

  • Elara Caring Home health agency, Hammond, LA, CCN 197778
  • Sterling Surgical Hospital Hospital, Slidell, LA, CCN 190256
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion158
Laminectomy or laminotomy (partial removal of spine bones)66

National Provider Directory

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

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Paradigm Health System CurrentSince Sep 1, 2016 Accepting new patients
Kindl Works LLC Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Paradigm Health System CurrentSince Sep 1, 2016 Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Northlake Neurological Institute LLC Past Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients

Locations

64301 Highway 434
Lacombe, LA 70445
Phone (985) 520-0909

233 Saint Ann Dr
Ste 4
Mandeville, LA 70471
Phone (985) 727-3936

3190 E Causeway Approach
Mandeville, LA 70448

110 Veterans Memorial Blvd
Ste 325
Metairie, LA 70005

987 Robert Blvd
Slidell, LA 70458

995 Robert Blvd
Slidell, LA 70458
Phone (985) 520-0909

1810 Lindberg Dr
Ste 2400
Slidell, LA 70458
Phone (985) 214-4330

985 Robert Blvd
Ste 104
Slidell, LA 70458
Phone (985) 520-0909

1810 Lindberg Dr
Ste 1400
Slidell, LA 70458
Phone (985) 326-8614

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3401/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.davis.1@11393.direct.athenahealth.com
  • Direct secure messaging: john.davis.1@3401.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sterling Surgical HospitalSlidell, LA, CCN 190256 Hospital 5% Or Greater Direct Ownership Interest (7.53%)
Corporate Officer (7.53%)
Jan 1, 2026
Jan 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1104918879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1224",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704591224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582009",
            "telephone_number": "985-520-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "019868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1384925",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.