Individual provider Active NPI

Bennett Davis, MD

  • Emergency Medicine Physician
  • Corinth, MS
National Provider Identifier
1316564651
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T-4137 Issued in MS
Practice address
611 Alcorn Dr
Corinth, MS 38834-9321
Phone
(407) 947-1369
NPI assigned
Jul 2, 2020
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T-4137 MS Primary

Addresses

Primary practice location

611 Alcorn Dr
Corinth, MS 38834-9321

Mailing address

514 N Fillmore St Apt 3
Corinth, MS 38834-4879
Phone (407) 947-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230802002534 MS Practitioner - Emergency Medicine 3971964222 Reassigns benefits to 2 organizations
I20250821001543 FL Practitioner - Emergency Medicine 3971964222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Central Florida LLPGroup PAC ID 1850296567, 132 clinicians

Practice addresses (Care Compare)

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 351-8500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-4137MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Physician Services, Inc CurrentSince Aug 15, 2023 Accepting new patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Magnolia Regional Health Center CurrentSince Aug 15, 2023 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Ear Nose & Throat Current Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1001 E Osceola Pkwy
Kissimmee, FL 34744
Phone (321) 842-1270

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

575 W State Road 434
Longwood, FL 32750
Phone (321) 841-4514

10155 Dowden Rd
Ste 301
Orlando, FL 32832

11898 Lake Underhill Rd
Orlando, FL 32825
Phone (321) 841-4540

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

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

  • Direct secure messaging: bennettdavis@magnolia.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1316564651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N FILLMORE ST APT 3",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344879",
            "telephone_number": "407-947-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "407-947-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BENNETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T-4137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.