Individual provider Active NPI

Robert Scott Davis, M.D.

  • Neurological Surgery Physician
  • Biloxi, MS
National Provider Identifier
1649378191
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
24838 Issued in MS
Practice address
14209 Cook Rd., Suite 200
Memorial Physician Clinics-St Martin Neuro & Spine
Biloxi, MS 39532
Phone
(228) 575-2536
Fax
(228) 872-0559
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 24838 MS Primary

Addresses

Primary practice location

14209 Cook Rd., Suite 200
Memorial Physician Clinics-St Martin Neuro & Spine
Biloxi, MS 39532

Mailing address

14209 Cook Rd., Suite 200
Memorial Physician Clinics-St. Martin Neuro & Spine
Biloxi, MS 39532
Phone (228) 575-2536

Other practice location 1

1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone (985) 377-1884

Other practice location 2

2000 Audubon Ave Ste B
Thibodaux, LA 70301-5075
Phone (985) 377-1884

Other practice location 3

3434 Houma Blvd
Metairie, LA 70006-4200
Phone (985) 377-1884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230717000102 LA Practitioner - Neurosurgery 7113829755 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24838MSMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aust Medical LLC CurrentSince Jul 7, 2023 Accepting new patients
Animas Neurological & Spine Surgery PLLC Neurological Surgery PastSince Aug 1, 2011 Accepting new patients

Locations

3434 Houma Blvd
Ste C
Metairie, LA 70006

740 Gause Blvd
Slidell, LA 70458
Phone (504) 646-0945

1375 Corporate Square Dr
Slidell, LA 70458
Phone (985) 726-2655

2000 Audubon Ave
Ste B
Thibodaux, LA 70301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1649378191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14209 COOK RD., SUITE 200",
            "address_2": "MEMORIAL PHYSICIAN CLINICS-ST. MARTIN NEURO & SPINE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39532",
            "telephone_number": "228-575-2536",
            "fax_number": "228-872-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14209 COOK RD., SUITE 200",
            "address_2": "MEMORIAL PHYSICIAN CLINICS-ST MARTIN NEURO & SPINE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39532",
            "telephone_number": "228-575-2536",
            "fax_number": "228-872-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 Corporate Square Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704583147",
            "country_code": "US",
            "telephone_number": "985-377-1884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Audubon Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703015075",
            "country_code": "US",
            "telephone_number": "985-377-1884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3434 Houma Blvd",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700064200",
            "country_code": "US",
            "telephone_number": "985-377-1884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "24838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.