Active NPI
Carlene Davis
- Contractor
- Meridian, MS
National Provider Identifier
1295120905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 2104 24TH Ave
Meridian, MS 39301-2135 - Phone
- (601) 678-1041
- Fax
- (601) 553-2970
- NPI assigned
- Mar 30, 2015
- Last updated
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
2104 24TH Ave
Meridian, MS 39301-2135
Mailing address
2104 24TH Ave
Meridian, MS 39301-2135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1295120905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 24TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393012135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 24TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393012135",
"telephone_number": "601-678-1041",
"fax_number": "601-553-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
- David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation (Oral Surgery and Wisdom Teeth of Mississippi)
- David M Gilmore DMD PA
- Bridget A. Davidson, CRNA
- Sheila Darlene Davidson, NURSE PRACTITIONER
- Benjamin K Davis, DDS
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.