Jay Davis Enterprise LLC

Primary specialty

Orthopedic AssistantTaxonomy code 246ZX2200X

Legal business name

JAY DAVIS ENTERPRISE LLC

Doing business as

Jimmie Davis

Practice address

2600 W Pleasant Run Rd
Lancaster, TX 75146-1114

Phone

(682) 391-7069

Fax

(682) 391-7069

NPI assigned

May 17, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Jimmie Davis, LSANPI 1225563018

Title

License Surgical Assistant

Phone

(682) 391-7069

Specialties & licenses 1

Addresses

Other names 2

• Jimmie Davis Doing business as
• Jay Davis Enterprise LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmie Davis Jr.

  • Surgical Assistant
  • Arlington, TX
  • NPI 1225563018
  NPD (past) Authorized official

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1619769668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BELL ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017116",
            "telephone_number": "682-391-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W PLEASANT RUN RD",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461114",
            "telephone_number": "682-391-7069",
            "fax_number": "682-391-7069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 Bell St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760017116",
            "country_code": "US",
            "telephone_number": "682-391-7069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAY DAVIS ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "LICENSE SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "682-391-7069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimmie Davis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jimmie Davis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jay Davis Enterprise LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jada CM Jackson, ED.D
• Raquelle Jackson
• Unaleshia Jackson, LPC
• Ebone Jahi-Coley
• Latasha James, SLP-A
• Jennifer Weatherly D.O.P.a.
• Jennifer Weatherly, D.O. P.a
• Jennifer Weatherly, D.O., P.a.
• Frederica Johnson
• Geninice Johnson, BA, LCDC-I

• Other Specialist/Technologist in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.