Individual provider Active NPI

Scott Anderson Davis, M.D.

  • Family Medicine Physician
  • Byram, MS
National Provider Identifier
1447405998
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20489 Issued in MS
Practice address
7275 S Siwell Rd
Byram, MS 39272-9776
Phone
(601) 373-7722
Fax
(601) 373-7378
NPI assigned
Nov 25, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20489 MS Primary

Addresses

Primary practice location

7275 S Siwell Rd
Byram, MS 39272-9776

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Phone (901) 227-3255

Other practice location 1

7275 S Siwell Rd
Byram, MS 39272-9776
Phone (601) 373-7722

Other practice location 2

1201 Highway 49 S Ste 1
Richland, MS 39218-9438
Phone (601) 973-1576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20101117000311 MS Practitioner - Family Practice 2466647375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Hwy 49 S
Suite 1
Richland, MS 39218-9438
Phone (601) 973-1576

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504

7273 S Siwell Rd
Jackson, MS 39272-9767
Phone (601) 372-8223

7275 S Siwell Rd
Jackson, MS 39272-9767
Phone (601) 373-7722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Baptist Nutrition Clinic CurrentSince Aug 1, 2010 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Family Medicine Current Accepting new patients
BMC - Attala, LLC Family Medicine Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: sdavis149112@direct.bmhcc.org

Organizations & group practices 4

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 2

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447405998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "telephone_number": "901-227-3255",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 S SIWELL RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729776",
            "telephone_number": "601-373-7722",
            "fax_number": "601-373-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7275 S Siwell Rd",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729776",
            "country_code": "US",
            "telephone_number": "601-373-7722",
            "fax_number": "601-373-7378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Highway 49 S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MS",
            "postal_code": "392189438",
            "country_code": "US",
            "telephone_number": "601-973-1576",
            "fax_number": "601-664-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SCOTT",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "20489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

Verify at the official NPI Registry.