NPIMap

Individual provider Active NPI

Thomas James Davis Jr., MD

  • Family Medicine Physician
  • Oakdale, LA
National Provider Identifier
1548320161
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LA19028 Issued in LA
Practice address
105 Hospital Dr
Oakdale, LA 71463-3034
Phone
(318) 335-4320
Fax
(318) 335-4908
NPI assigned
Dec 12, 2006
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 LA19028 LA Primary

Addresses

Primary practice location

105 Hospital Dr
Oakdale, LA 71463-3034

Mailing address

105 Hospital Dr
Oakdale, LA 71463-3034
Phone (318) 335-4320

Other identifiers 1

IdentifierTypeStateIssuer
1389081MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000000 LA Practitioner - Family Practice 8921095613 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Oakdale, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Oakdale LLCGroup PAC ID 1355623943, 37 clinicians

Practice addresses (Care Compare)

105 Hospital Dr
Oakdale, LA 71463-3034

105 N Hospital Dr
Oakdale, LA 71463-3034
Phone (318) 335-4321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19028LAMDPharmacist
LA19028LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Oakdale LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
CLHG-Oakdale LLC Family Medicine CurrentSince Jul 15, 2021 Accepting new patients
CLHG-Oakdale, LLC Past Accepting new patients
St Frances Pfu LLC PastSince Jan 1, 2003 Accepting new patients
Health Enrichment Network Past Accepting new patients
CLHG-Oakdale, LLC Past Accepting new patients
Brighton Bridge Hospice LLC Family Medicine Past Accepting new patients

Locations

105 Hospital Dr
Oakdale, LA 71463
Phone (318) 335-4320

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

400 E 6th Ave
Oakdale, LA 71463
Phone (318) 335-3501

317 E Sixth Ave
Oberlin, LA 70655

Interoperability endpoints

  • Direct secure messaging: ochtdavis@yourcarecommunity.org
  • Direct secure messaging: thomas.davis@tjd.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Care Center of DequincyDequincy, LA, CCN 195527 Skilled nursing facility 5% Or Greater Direct Ownership Interest (16.5%) Dec 10, 2003
St Frances Nursing & Rehabilitation CenterOberlin, LA, CCN 195499 Skilled nursing facility 5% Or Greater Direct Ownership Interest (35%)
Corporate Officer (35%)
Adp of the SNF		 Jan 1, 2003
Jan 1, 2003
May 13, 2025
Hessmer Nursing and Rehabilitation CenterHessmer, LA, CCN 195559 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022
Lakeview Manor Nursing and Rehabilitation CenterNew Roads, LA, CCN 195446 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (8.16%) Apr 1, 2022
Colonial Nursing and Rehabilitation CenterMarksville, LA, CCN 195445 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (8.16%)
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022
Our Lady of Prompt Succor Nursing FacilityOpelousas, LA, CCN 195369 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Nov 1, 2022
Allegiance Home Health of East Central LouisianaVille Platte, LA, CCN 197199 Home health agency 5% Or Greater Indirect Ownership Interest (5%) Mar 31, 2022

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 7

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1548320161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633034",
            "telephone_number": "318-335-4320",
            "fax_number": "318-335-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633034",
            "telephone_number": "318-335-4320",
            "fax_number": "318-335-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "LA19028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1389081",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, LA

Sources for this page

Verify at the official NPI Registry.