Woody D. Davis, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

05260 Issued in MS

Practice address

5002 Highway 39 N
BLDG. B
Meridian, MS 39301-1078

Phone

(601) 483-7331

Fax

(601) 483-3721

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154423804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WINDOVER CIR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052023",
            "telephone_number": "601-483-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 HIGHWAY 39 N",
            "address_2": "BLDG. B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011078",
            "telephone_number": "601-483-7331",
            "fax_number": "601-483-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WOODY",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "05260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8525",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13247",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald S Davis, M.D.
• Jason Taylor Davis, ATC
• Katherine G Davis, RD, LD
• Logan E Davis, PHARMD
• Susan MC Daniel Davis, RN, NNP-BC
• Daphne Dawson
• Harry Dayton, M. D., PH. D.
• Leeann Gilmer Dayton, PHARM.D.
• Myrna L. Dean, CRNA
• Phyllis Felishaona Dean

• Specialist in Meridian, MS
• Providers in Meridian, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.