Individual provider Active NPI

Shelley S. Davies, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1124027131
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
023623 Issued in LA
Practice address
500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128
Phone
(225) 928-2555
Fax
(225) 929-9685
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 023623 LA Primary

Addresses

Primary practice location

500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128

Mailing address

500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128
Phone (225) 928-2555

Other identifiers 1

IdentifierTypeStateIssuer
1483796MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170913001877 FL Practitioner - Pediatric Medicine 0941573992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023623LAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Neonatal-Perinatal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Baton Rouge Neonatal Associates, Inc. Neonatal-Perinatal Medicine Past Accepting new patients
Baton Rouge Neonatal Associates, Inc. Past Accepting new patients

Locations

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1124027131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE",
            "address_2": "SUITE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-928-2555",
            "fax_number": "225-929-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE",
            "address_2": "SUITE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-928-2555",
            "fax_number": "225-929-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "SHELLEY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "023623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483796",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.