Paul Wayne Davis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C6162 Issued in AR

Practice address

7400 Dollarway Rd
Ste a
White Hall, AR 71602-3025

Phone

(870) 879-6791

Fax

(870) 879-4476

NPI assigned

Aug 25, 2005

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in AR

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

University of Arkansas College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Homecare Home health agency, White Hall, AR, CCN 047093
• Elite Home Health Home health agency, Fordyce, AR, CCN 047169
• Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paul W Davis MD PA

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1518922632
  Medicare reassignment NPD

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

• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Dallas County Medical Center Home Care, LLC

  dba Elite Home Health

  • Home Health Agency
  • Fordyce, AR
  • NPI 1205546702
  Care Compare affiliation
• Jefferson Hospital Association Inc

  dba Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Pine Bluff, AR
  • NPI 1710931985
  Care Compare affiliation
• Jefferson Regional Homecare, LLC

  dba Jefferson HomeCare

  • Home Health Agency
  • White Hall, AR
  • NPI 1891972642
  Care Compare affiliation

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1386637221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20940",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716120940",
            "telephone_number": "870-879-6791",
            "fax_number": "870-879-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 DOLLARWAY RD",
            "address_2": "STE A",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023025",
            "telephone_number": "870-879-6791",
            "fax_number": "870-879-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAUL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103077001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-ID UNSPECIFIED",
            "identifier": "110066191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daily Dose Drugstore LTC
• Daily Dose Drugstore, Inc.
• Chancey Dale, PLMSW
• Larna J Davis, PHARMD
• Lee Andrew Davis Jr., MD
• Dollarway Ambulatory Surgery Center, LLC
• Dollarway Road Operating LLC
• Donna D. Massey D.D.S.
• Doug Coleman, MD PA
• Dr Q Pain & Spine Clinic, PA (Arkansas spine and pain)

• Family Medicine Physician in White Hall, AR
• Providers in White Hall, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.