Dallas Internal Medicine Associates P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DALLAS INTERNAL MEDICINE ASSOCIATES P.A.

Practice address

221 W Colorado Blvd Ste 730
Dallas, TX 75208-2357

Phone

(214) 941-5200

Fax

(214) 948-8870

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Francis Davis, M.D.NPI 1972521318

Title

Medical Director

Phone

(214) 941-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2306/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Francis Davis, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1972521318
  Medicare reassignment Care Compare group Authorized official
• Rogers Pressley Fair Jr., MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1063476463
  Medicare reassignment Care Compare group
• Bria Johnson Giddens, APRN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1609540186
  Medicare reassignment

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1831200443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 730",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082357",
            "telephone_number": "214-941-5200",
            "fax_number": "214-948-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 730",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082357",
            "telephone_number": "214-941-5200",
            "fax_number": "214-948-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS INTERNAL MEDICINE ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-941-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000H19N8",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dallas Institute of Advanced Medicine Inc.
• Dallas Integrated Healthcare Specialists PLLC
• Dallas Integrated Medical Center Inc
• Dallas Integrated Spine and Joint Specialists PLLC
• Dallas Integrative Counseling, LLC
• Dallas Internal Medicine Group, P.a.
• Dallas Internal Medicine Specialist
• Dallas Kidney Specialists, P.a.
• Dallas Kids Smiles PLLC
• Dallas Kidz Choice Pediatrics, PLLC

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.