Active NPI
James Alexander Davenport, MD
- Obstetrics & Gynecology Physician
- Tallahassee, FL
National Provider Identifier
1760435002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME25681
- Practice address
- 2418 E Plaza Dr
Tallahassee, FL 32308-5301 - Phone
- (850) 656-1997
- Fax
- (850) 656-1936
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME25681 | FL | Primary |
Addresses
Primary practice location
2418 E Plaza Dr
Tallahassee, FL 32308-5301
Mailing address
PO Box 14266
Tallahassee, FL 32317-4266
Phone (850) 656-1997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059400800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1760435002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14266",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323174266",
"telephone_number": "850-656-1997",
"fax_number": "850-656-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 E PLAZA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085301",
"telephone_number": "850-656-1997",
"fax_number": "850-656-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "JAMES",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME25681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059400800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.