Individual provider Active NPI

Stephen Orr Davis, MD

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1700406162
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
339755 Issued in LA
Practice address
5750 Johnston St # 101
Lafayette, LA 70503-5334
Phone
(318) 219-6892
NPI assigned
Apr 25, 2020
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 339755 LA Primary

Addresses

Primary practice location

5750 Johnston St # 101
Lafayette, LA 70503-5334

Mailing address

5750 Johnston St # 101
Lafayette, LA 70503-5334
Phone (318) 219-6892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231108001471 TX Practitioner - Family Practice 7810344124 Reassigns benefits to 2 organizations
I20240226004199 LA Practitioner - Family Practice 7810344124 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leatherwood Emergency Group LLCGroup PAC ID 0749521250, 13 clinicians
Emergency Group of St Landry LLCGroup PAC ID 0749237212, 14 clinicians

Practice addresses (Care Compare)

130 Hospital Dr
Oakdale, LA 71463-3035
Phone (318) 215-3084

800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-5684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.49 of 100Reported as group
Quality
91.23
Improvement activities
40
Cost
70.6

Merit-based Incentive Payment System (MIPS)

Final score
86.29 of 100Reported as group
Quality
72.11
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of St Landry LLC CurrentSince Feb 4, 2024 Accepting new patients
Vermilion Emergency Group LLC CurrentSince Oct 13, 2024 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Sep 26, 2023 Accepting new patients
Main Street Physician Services LLC CurrentSince Feb 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 14, 2023 Accepting new patients
Leatherwood Emergency Group, LLC CurrentSince Jan 13, 2024 Accepting new patients

Locations

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 312-5137

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1700406162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST # 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "318-219-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST # 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "318-219-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEPHEN",
        "middle_name": "ORR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-25",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "339755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.