Susan Rebecca Davis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G8070 Issued in TX

Practice address

4301 89TH St
Lubbock, TX 79423-2904

Phone

(806) 798-7676

NPI assigned

Jan 30, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.davis@direct.myteamcare.com

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  TX

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  TX

  Medicare reassignment NPD
• Lamb Healthcare Center

  • General Acute Care Hospital
  • Littlefield, TX
  • NPI 1700854288

  TX

  Medicare reassignment NPD
• Seminole Hospital District of Gaines County Texas

  • Critical Access Hospital
  • Seminole, TX
  • NPI 1821025990

  TX

  Medicare reassignment NPD
• Lamb Healthcare Center

  • Rural Health Clinic/Center
  • Olton, TX
  • NPI 1912352584
  NPD
• Seminole Hospital District of Gaines County Texas

  • Community/Retail Pharmacy
  • Seminole, TX
  • NPI 1427618461
  NPD
• Covenant Health System

  • Psychiatric Hospital
  • Lubbock, TX
  • NPI 1033272497
  NPD (past)
• Covenant Health System

  • Land Ambulance
  • Lubbock, TX
  • NPI 1720542632
  NPD (past)
• Covenant Medical Group

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  NPD (past)
• Texas Tech University Health Sciences Center University Associates

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1902832181

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1265403182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 89TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232904",
            "telephone_number": "806-798-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 89TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232904",
            "telephone_number": "806-798-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SUSAN",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139779621",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Franklin Davis, D.C.
• Kimberly Davis
• Mariah Celeste Davis, M.A., LPC
• Philip J. Davis, PH.D.
• Sally Davis, L.P.C., L.C.D.C.
• Tasheva Lakhan Davis
• Tracy Davis, MSN, RN, AGACNP-BC
• Walter Pitts Davis, LMFT
• Wendell Dorcell Davis
• William Jewell Davis, M.D.

• All providers in Lubbock, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.

Verify at the official NPI Registry.