Anna Christine Davis, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

013663 Issued in LA

Practice address

69164 Highway 59
Suite 2
Mandeville, LA 70471-7782

Phone

(985) 951-7882

Fax

(985) 951-7721

NPI assigned

Nov 16, 2006

Last updated

Oct 1, 2014By the provider in NPPES

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 LA

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

Practice roles

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.

• A.C. Davis M.D. a Professional Corporation

  • Addiction Medicine (Internal Medicine) Physician
  • Mandeville, LA
  • NPI 1174926315
  NPD (past) Authorized official
• Robert D Lesser MD & Associates

  • Medical Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1730233883
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1336212729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700386",
            "telephone_number": "985-951-7882",
            "fax_number": "985-951-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69164 HIGHWAY 59",
            "address_2": "SUITE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717782",
            "telephone_number": "985-951-7882",
            "fax_number": "985-951-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNA",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "LA",
            "license": "013663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1185116",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Ferdinand Daroca III, DDS
• Darr Orthopedic Institute LLC
• Kevin Darr, MD
• Kim Dauzat, MS, CCC-SLP
• David L. Samuel, M.D. a Proffessional Medical Corporation
• Harley Jacob Davis, MD
• Katlyn Dawson
• Paulette Dawson, LCSW
• DDMS of Louisiana No 2, LLC
• DDMS of Louisiana No 2, LLC

• Addiction Medicine (Internal Medicine) Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Addiction Medicine (Internal Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.