Dava Sue Cleveland, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T-4508 Issued in MS

Practice address

2466 Flowood Dr
Jackson, MS 39232-9019

Phone

(601) 815-5700

Fax

(601) 815-5795

NPI assigned

Aug 24, 2006

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leake Emergency Group, LLCGroup PAC ID 4486985256, 15 clinicians

Attala Emergency Group LLCGroup PAC ID 5294984340, 13 clinicians

Yazoo Emergency Group, LLCGroup PAC ID 0749511574, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center-Leake Hospital, Carthage, MS, CCN 251315
• Baptist Medical Center Attala Hospital, Kosciusko, MS, CCN 251336
• Baptist Medical Center-Yazoo Hospital, Yazoo City, MS, CCN 251313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dava.cleveland.1@20428.direct.athenahealth.com
• Direct secure messaging: dcleveland639315@direct.bmhcc.org

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.

• Attala Emergency Group LLC

  • Emergency Medicine Physician
  • Kosciusko, MS
  • NPI 1407103294
  Medicare reassignment Care Compare group NPD
• Leake Emergency Group, LLC

  • Emergency Medicine Physician
  • Carthage, MS
  • NPI 1669028130
  Medicare reassignment Care Compare group NPD
• Yazoo Emergency Group, LLC

  • Emergency Medicine Physician
  • Yazoo City, MS
  • NPI 1447806914
  Medicare reassignment Care Compare group NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Medical Center - Yazoo, Inc

  • Critical Access Hospital
  • Yazoo City, MS
  • NPI 1619918075
  Care Compare affiliation
• Baptist Medical Center-Leake Inc

  • Critical Access Hospital
  • Carthage, MS
  • NPI 1205112539
  Care Compare affiliation
• BMC - Attala, LLC

  dba Baptist Medical Center - Attala

  • Critical Access Hospital
  • Kosciusko, MS
  • NPI 1730566027
  Care Compare affiliation

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1295842169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 FLOWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329019",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 FLOWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329019",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "DAVA",
        "middle_name": "SUE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "AL",
            "license": "DO.1232",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleaning Brigade
• Clear View Vision Care
• William Cleland, M.D.
• James Wesley Clements, M.D.
• Charles Paul Clericuzio
• Kenneth E Cleveland, MD
• Nicole Duncan Cleveland, MD
• William Matthew Cliburn, MSN, APRN, FNP-C
• Barry Clinton Click, DOCTOR OF MINISTRY
• Clifton Street Assisted Living Center, Inc

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.