Individual provider Active NPI

Jacob Bailey Davis, FNP-C

  • Family Nurse Practitioner
  • Houston, MS
National Provider Identifier
1801780283
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907478 Issued in MS
Practice address
1002 E Madison St
Houston, MS 38851-2428
Phone
(662) 456-3700
NPI assigned
Jun 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907478 MS Primary

Addresses

Primary practice location

1002 E Madison St
Houston, MS 38851-2428

Mailing address

346 County Road 288
Grenada, MS 38901
Phone (662) 897-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202002618 MS Practitioner - Nurse Practitioner 1759874415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Health of Houston LLCGroup PAC ID 0143662429, 17 clinicians
Grenada Emergency Group, LLCGroup PAC ID 2163854225, 37 clinicians

Practice addresses (Care Compare)

1002 E Madison St
Houston, MS 38851-2428
Phone (662) 456-3700

239 Bowling Green Rd
Lexington, MS 39095-5167
Phone (662) 834-1321

Hospital & facility affiliations

  • Progressive Health Group of Houston Hospital, Houston, MS, CCN 250785
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
907478MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grenada Emergency Group, LLC CurrentSince Jan 10, 2026 Accepting new patients
Progressive Health of Houston, LLC CurrentSince Sep 20, 2025 Accepting new patients
Progressive Health of Houston, LLC Past Accepting new patients

Locations

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

1002 E Madison St
Houston, MS 38851
Phone (601) 456-3701

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1801780283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 COUNTY ROAD 288",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-897-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E MADISON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512428",
            "telephone_number": "662-456-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JACOB",
        "middle_name": "BAILEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, MS

Sources for this page

Verify at the official NPI Registry.