Individual provider Active NPI

James O Davis IV, M.D.

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1740474832
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E5449 Issued in AR
Practice address
4 Executive Center CT
Little Rock, AR 72211-4487
Phone
(501) 448-0060
Fax
(501) 448-0066
NPI assigned
Aug 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E5449 AR Primary

Addresses

Primary practice location

4 Executive Center CT
Little Rock, AR 72211-4487

Mailing address

4 Executive Center CT
Little Rock, AR 72211-4487
Phone (501) 448-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080604000800 AR Practitioner - Psychiatry 1254401094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Psychiatric Clinic, Professional AssociationGroup PAC ID 9931180411, 18 clinicians

Practice addresses (Care Compare)

4 Executive Ctr CT
Little Rock, AR 72211-4487
Phone (501) 448-0060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5449ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Psychiatric Clinic, Professional Association Psychiatry CurrentSince Jun 1, 2008 Accepting new patients

Locations

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

Interoperability endpoints

  • Direct secure messaging: jamesdavis@arpc.allscriptsdirect.net

Organizations & group practices 1

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1740474832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CENTER CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114487",
            "telephone_number": "501-448-0060",
            "fax_number": "501-448-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CENTER CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114487",
            "telephone_number": "501-448-0060",
            "fax_number": "501-448-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E5449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.