William Shuford Davis, PHD

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

MT0000920 Issued in FL

Practice address

1804 Miccosukee Commons Dr
Suite 204
Tallahassee, FL 32308-5470

Phone

(850) 385-8007

Fax

(850) 383-9993

NPI assigned

Aug 30, 2013

Last updated

Jun 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shuford Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• John Bailey, D.O., LLC

  • Psychiatry Physician
  • Tallahassee, FL
  • NPI 1184015067
  NPD (past)

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1235563800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 MICCOSUKEE CMNS # DE",
            "address_2": "SUITE 204",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085470",
            "telephone_number": "850-385-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 MICCOSUKEE COMMONS DR",
            "address_2": "SUITE 204",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085470",
            "telephone_number": "850-385-8007",
            "fax_number": "850-383-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "SHUFORD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "MT0000920",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "MT0000920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUFORD",
            "last_name": "DAVIS",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tongela Davis
• Tracey A. Davis, MSW
• Tyra Alyse Davis
• Wilburn T Davis III, RPH
• Wilburn Turner Davis II, PHARMACIST
• Kallie Dawkins, MS, RD
• Louis Dawkins Jr., RN
• Tamie Peak Dawkins, RPH
• Rizwana Dawood
• Gabriel Dawson

• Family Psychologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.