Jay Davis
Individual provider Active NPI Obstetrics & Gynecology Physician · Bogalusa, LA
NPI 1861735136 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1861735136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 322466 (LA)
- Practice address
- 420 Avenue F
Bogalusa, LA 70427-3634 - Phone
- (985) 730-7001
- Fax
- (985) 730-7006
- NPI assigned
- Apr 4, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Meharry Medical College School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Louisiana State University School of Medicine in New Orleans Faculty G
Practice addresses (Care Compare)
3700 Saint Charles Ave
New Orleans, LA 70115-4637
Phone (504) 412-1100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200707002430 | LA | Practitioner - Obstetrics/Gynecology | 6305179110 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322466 | LA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wash-St Tammany Reg Medical Center | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current |
Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current |
Accepting new patients | |
| Touro Infirmary | Past | Accepting new patients |
Locations
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
420 Avenue F
Bogalusa, LA 70427
Phone (985) 730-6970
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
3700 Saint Charles Ave
Fl 7
New Orleans, LA 70115
Phone (504) 897-4242
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
2000 Canal St
Fl 5
New Orleans, LA 70112
Phone (504) 702-4333
1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011
5620 Read Blvd
Fl 2
New Orleans, LA 70127
Phone (504) 897-8213
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
3700 Saint Charles Ave
New Orleans, LA 70115
Phone (504) 895-7428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 322466 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 322466 | LA | Yes |
Addresses
Primary practice location
420 Avenue F
Bogalusa, LA 70427-3634
Mailing address
1542 Tulane Ave
Lsuhsc Dept of OBGYN
New Orleans, LA 70112-2865
Phone (504) 568-4890
Other practice location 1
1542 Tulane Ave
LSUHSC Dept of ObGyn
New Orleans, LA 70112-2865
Phone (504) 568-4890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322466 | Other | LA | STATE LICENSE |
Other providers in Bogalusa, LA
- Susan Anthony Crawford
- Jennifer Heausler Creech
- Georgia-Lee Beyonce Crumedy
- Claude M D'Antonio
- Derek Gavin Davis
- Oleta Davis
- DDMS of Louisiana No 2, LLC
- DDMS of Louisiana No 2, LLC
- Susette Dean
- Dena Children Center LLC
All providers in Bogalusa, LA · Obstetrics & Gynecology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.