Active NPI
Amy B Davis, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Corinth, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 18218
- Practice address
- 121 Pratt Dr Ste 1a
Corinth, MS 38834-6026 - Phone
- (662) 286-0088
- Fax
- (662) 286-0067
- NPI assigned
- Mar 8, 2007
- Last updated
- Jan 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 18218 | MS | Primary |
Addresses
Primary practice location
121 Pratt Dr Ste 1a
Corinth, MS 38834-6026
Mailing address
401 Alcorn Dr
Ste 2C
Corinth, MS 38834-9073
Phone (662) 286-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08033823 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18218 | MS | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Physician Services, Inc | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Ear Nose & Throat | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Premier Radiology, Inc | Past | Accepting new patients |
Locations
3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499
401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255
401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565
611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961
703 Alcorn Dr
Ste 109
Corinth, MS 38834
Phone (662) 286-1499
Interoperability endpoints
- amydavis@magnolia.medalliesdirect.net
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Corinth, MS
- NPI 1073827549
-
dba Magnolia Express Care
- Internal Medicine Physician
- Corinth, MS
- NPI 1649721457
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
- Otolaryngology Physician
- Corinth, MS
- NPI 1881132124
-
dba Magnolia Women's Center
- Internal Medicine Physician
- Corinth, MS
- NPI 1093546566
-
dba MRHC - CRNA Svcs
- Certified Registered Nurse Anesthetist
- Corinth, MS
- NPI 1245410398
-
dba MRHC - Pulmonology Pro Fee
- Pulmonary Disease Physician
- Corinth, MS
- NPI 1689906117
-
dba MRHC - Emergency Medicine Pro Fee
- Emergency Medicine Physician
- Corinth, MS
- NPI 1922266857
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1083669121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1184755308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ALCORN DR",
"address_2": "STE 2C",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349073",
"telephone_number": "662-286-0088",
"fax_number": "662-286-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 PRATT DR STE 1A",
"city": "CORINTH",
"state": "MS",
"postal_code": "388346026",
"telephone_number": "662-286-0088",
"fax_number": "662-286-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMY",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MS",
"license": "18218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08033823",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.