Heather Davis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3987 Issued in AR

Practice address

110 Pioneer Way
Magee, MS 39111-5501

Phone

(866) 216-9285

NPI assigned

Feb 3, 2014

Last updated

Feb 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1649693250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 WARDEN RD",
            "address_2": "STE 230",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206068",
            "telephone_number": "501-392-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PIONEER WAY",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391115501",
            "telephone_number": "866-216-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3836",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP3987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covington County Hospital (Medical Center of Magee)
• Jaime Craft, DPT
• Brittany Crane
• Adam Craig Creel, PHARMD
• Robert William Cronk III, DMD
• Dental Group of Magee PLLC
• DM and C (Davin R. Lundquist, MD)
• Doctor Jack R Magee DMD PA (Magee Family Dental Care)
• Harry Lee Dowdy, M.D.
• Joshua D Duckworth

• Speech-Language Pathologist in Magee, MS
• Providers in Magee, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.