John Robert Davis, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

05258 Issued in MS

Practice address

815 Childs St
Corinth, MS 38834-4934

Phone

(662) 286-3341

Fax

(662) 286-9827

NPI assigned

Sep 20, 2005

Last updated

Aug 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bob Davis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1700871340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CHILDS ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344934",
            "telephone_number": "662-286-3341",
            "fax_number": "662-286-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CHILDS ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344934",
            "telephone_number": "662-286-3341",
            "fax_number": "662-286-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "05258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012610",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "DAVIS",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Luther Newton Daniel, DO
• David K Curtis DMD PA (Pediatric Dentistry of Corinth)
• Amy B Davis, MD
• Bennett Davis, MD
• Blair Anne Davis, DO
• Stephanie Britt Davis
• Kassandra Decker, LPC
• Heather Dawn Denham
• Dental Arts of Corinth
• Malorie Devaughn, ACNPC-AG

• Gastroenterology Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Gastroenterology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.