Justin N Davis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

041.420223 Issued in IL

Practice address

2610 S Rockingchair Rd
Paragould, AR 72450-9609

Phone

(870) 240-5877

NPI assigned

Jun 9, 2014

Last updated

Jan 3, 2017By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifelinc Anesthesia V, P.a.Group PAC ID 8921359712, 41 clinicians

Southern Eye Associates LTDGroup PAC ID 4688576739, 8 clinicians

Arkansas Methodist Hospital CorporationGroup PAC ID 6608780119, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
• Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Arkansas Methodist Hospital Corporation

  dba Paragould Anesthesia Group

  • Anesthesiology Physician
  • Paragould, AR
  • NPI 1861593816
  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia V, P.a.

  • Anesthesiology Physician
  • West Memphis, AR
  • NPI 1063907244

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Southern Eye Associates LTD

  • Ophthalmology Physician
  • Jonesboro, AR
  • NPI 1669486528
  Medicare reassignment Care Compare group
• Physicians Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Blytheville, AR
  • NPI 1295851137
  Medicare reassignment NPD
• Rural Health Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Forrest City, AR
  • NPI 1265039556
  Medicare reassignment NPD
• Arkansas Methodist Hospital Corporation

  dba AMMC Physician Group

  • Otolaryngology Physician
  • Paragould, AR
  • NPI 1205457405
  NPD
• Jonesboro Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
  • NPI 1811368327

  Nurse Anesthetist, Certified Registered

  NPD
• Physicians Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Blytheville, AR
  • NPI 1114906393
  NPD
• Arkansas Methodist Hospital Corporation

  dba Ammc Ambulance Service

  • Ambulance
  • Paragould, AR
  • NPI 1578633368
  NPD (past)

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

• Arkansas Methodist Hospital Corporation

  dba Arkansas Methodist Medical Center

  • General Acute Care Hospital
  • Paragould, AR
  • NPI 1437222312
  Care Compare affiliation
• Baptist Memorial Hospital-Jonesboro Inc

  dba NEA Baptist Memorial Hospital

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1386699353
  Care Compare affiliation

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1811300718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 S ROCKINGCHAIR RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724509609",
            "telephone_number": "870-240-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S ROCKINGCHAIR RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724509609",
            "telephone_number": "870-240-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JUSTIN",
        "middle_name": "N",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003044",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041.420223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206712001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlie Rae Davis, APRN
• Brittany Davis
• Brittney Leann Davis
• Emma Davis
• Gabriel Davis
• Kate Davis
• Marvin Davis
• Megan Davis
• Sydney Erin Davis
• Jessica Avery Day, MCD, CFY-SLP

• Certified Registered Nurse Anesthetist in Paragould, AR
• Providers in Paragould, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.