Individual provider Active NPI

Paul Wesley Davis, DO

  • Nephrology Physician
  • Rochester, MN
National Provider Identifier
1437611019
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
70806 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-4500
Phone
(507) 284-2511
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28812 MS
Internal Medicine Physician 207R00000X T-3932 MS
Nephrology Physician 207RN0300X 70806 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-4500

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 268-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MS2 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
I20220705000281 MN Practitioner - NephrologyPractitioner - Hospitalist 9739417783 Reassigns benefits to 2 organizations
I20250416003896 MS Practitioner - Internal Medicine 9739417783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
1B Forrest General Family Medicine Center/R
Hattiesburg, MS 39401-7246
Phone (601) 579-3300

Hospital & facility affiliations

  • Hattiesburg Clinic Dialysis Dialysis facility, Hattiesburg, MS, CCN 252502
  • Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078
  • Perry County General Hospital Hospital, Richton, MS, CCN 250783
  • Marion General Hospital Hospital, Columbia, MS, CCN 250085
  • Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28812MSMDInternal Medicine Physician
T-3932MSMDInternal Medicine Physician
70806MNMDNephrology Physician
3932MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Jul 1, 2022 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Aug 1, 2023 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Apr 28, 2025 Accepting new patients
Hattiesburg Clinic PA CurrentSince Apr 28, 2025 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Aug 1, 2023 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
Hattiesburg Clinic, PA Past Accepting new patients

Locations

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

415 S 28th Ave
Ste 4A
Hattiesburg, MS 39401

415 S 28th Ave
Ste 1B
Hattiesburg, MS 39401
Phone (601) 579-3300

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

415 S 28th Ave
#4A
Hattiesburg, MS 39401

Interoperability endpoints

  • Direct secure messaging: pdavis151246@directpatientrecord.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1437611019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559054500",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-268-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAUL",
        "middle_name": "WESLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "28812",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-3932",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "70806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.