Individual provider Active NPI

Tabitha Davies, DO

  • Family Medicine Physician
  • Rogers, AR
National Provider Identifier
1174938609
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-19787 Issued in AR
Practice address
5302 W Village Pkwy Ste 3
Rogers, AR 72758-8139
Phone
(479) 282-2737
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X E-19787 AR Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X S6602 TX
Family Medicine Physician 207Q00000X S6602 TX
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X E-19787 AR

Addresses

Primary practice location

5302 W Village Pkwy Ste 3
Rogers, AR 72758-8139

Mailing address

5302 W Village Pkwy Ste 3
Rogers, AR 72758-8139
Phone (479) 282-2737

Other practice location 1

210 N Texas St
Hereford, TX 79045-4228
Phone (512) 784-9799

Other names 1

  • Mrs. Tabitha Ann White Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181012002310 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3375847288 Reassigns benefits to 2 organizations
I20200625001649 TX Practitioner - Family Practice 3375847288 Reassigns benefits to 3 organizations
I20260522001111 AR Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3375847288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaf Smith County Hospital DistrictGroup PAC ID 8123923497, shared by 2 NPIs, 48 clinicians

Practice addresses (Care Compare)

540 W 15TH St
Hereford, TX 79045-2820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-19787ARMDObstetrics & Gynecology Physician
S6602TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Camellia Foundation Multi-Specialty CurrentSince Sep 15, 2018 Accepting new patients
Deaf Smith County Hospital District Multi-Specialty CurrentSince Jun 1, 2020 Accepting new patients
Medicos General PLLC Multi-Specialty CurrentSince Sep 15, 2018 Accepting new patients
Deaf Smith County Hospital District Multi-Specialty CurrentSince Jun 1, 2020 Accepting new patients
Trevor Rohm MD PA Multi-Specialty CurrentSince May 1, 2021 Accepting new patients
Joyful Heart Family Medicine PLLC Multi-Specialty CurrentSince Sep 15, 2021 Accepting new patients

Locations

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

Interoperability endpoints

  • Direct secure messaging: tdavies@yourcarecommunity.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1174938609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 W VILLAGE PKWY STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588139",
            "telephone_number": "479-282-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 W VILLAGE PKWY STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588139",
            "telephone_number": "479-282-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Texas St",
            "address_purpose": "LOCATION",
            "city": "Hereford",
            "state": "TX",
            "postal_code": "790454228",
            "country_code": "US",
            "telephone_number": "512-784-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "TABITHA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-19787",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S6602",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S6602",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-19787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "WHITE",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.