Leon N Davis MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00016726 Issued in AL

Legal business name

LEON N DAVIS MD PC

Practice address

1725 W 4TH St
Montgomery, AL 36106

Phone

(334) 262-2071

Fax

(334) 269-9777

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Leon Nolan Davis Jr., MDNPI 1265493134

Title

President Owner

Phone

(334) 262-2071

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Extended Arm Physicians Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leon Nolan Davis Jr., MD

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1265493134
  Medicare reassignment Authorized official
• Angela K Rayborn, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1013494673
  Medicare reassignment NPD
• Patricia Ann Martin, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1346342953
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1326009366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230577",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361230577",
            "telephone_number": "334-262-2071",
            "fax_number": "334-262-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 4TH ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36106",
            "telephone_number": "334-262-2071",
            "fax_number": "334-269-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON N DAVIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "334-262-2071",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00016726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000022924",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051022924",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extended Arm Physicians Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Extended Arm Physicians Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Lefebre
• Michael Vann Legrand, DMD
• Taylor Elaine Lemke, CRNP
• Leland Lafayette Lemon II, DC
• Todd K Lempicki, D.O.
• Heather Angel Leonard, LPC
• Mark H Lequire, M.D.
• David Samuel Leslie, DMD
• Donna Christine Leslie, LPC
• Erik Paul Lessmann, M.D.

• Internal Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.