Jimmy W. Davis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6666 Issued in AL

Practice address

101 Stephen J White Blvd
Talladega, AL 35160-2106

Phone

(256) 315-2252

Fax

(256) 362-5959

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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

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 and National Provider Directory roles.

• Baptist Health Centers, LLC

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236

  AL

  Medicare reassignment NPD
• Baptist Health Centers LLC

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD
• Baptist Health Centers, LLC

  • Family Medicine Physician
  • Talladega, AL
  • NPI 1184688244

  Internal Medicine

  NPD
• BHC - Edwin Moyo MD

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1497719652
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1609976265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STEPHEN J WHITE BLVD",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602106",
            "telephone_number": "256-315-2252",
            "fax_number": "256-362-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STEPHEN J WHITE BLVD",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602106",
            "telephone_number": "256-315-2252",
            "fax_number": "256-362-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JIMMY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "6666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142299",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000038905",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142543",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherron C Daniel, CRNA
• Dennis Frank Dase, M.D.
• Stephanie Renee Dates, LICSW
• Anne B. Davis, M.D.
• Ellen C Davis
• Deborah Edwards Dba Discount Optical Depot
• James Lewis Dickinson, BS
• Micheal Z. Dollar, DMD
• Donna L. Lee OD ,D/B/a Talladega Family Optical
• Dr. Pramod Bhatia LLC

• All providers in Talladega, AL
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.