Nita Davis
Individual provider Active NPI Pediatric Critical Care Medicine Physician · Mobile, AL
NPI 1669768008 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1669768008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Critical Care Medicine Physician 2080P0203X
- License
- MD.37263 (AL)
- Practice address
- 1700 Center St
Mobile, AL 36604-3301 - Phone
- (251) 415-1546
- Fax
- (251) 415-1026
- NPI assigned
- Jun 23, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190416001477 | AL | Practitioner - Critical Care (Intensivists) | 0749521979 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| University of South Alabama | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| University of South Alabama Mitchell Cancer Institute | Current |
Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| University of South Alabama | Past | Accepting new patients |
Locations
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD.37263 | AL | Yes |
Addresses
Primary practice location
1700 Center St
Mobile, AL 36604-3301
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669768008 | Medicaid | WI |
Other providers in Mobile, AL
- Melody L Davis
- Meredith Ashton Davis
- Michael R. Davis
- Miranda Davis
- Mitzi Lynn Davis
- Rachel Davis
- Robin Davis
- Robin Davis
- Samantha Morris Davis
- Shannon Noelle Lawley Davis
All providers in Mobile, AL · Pediatric Critical Care Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.