NPIMap

Individual provider Active NPI

Andrew T Davies, M.D.

  • Family Medicine Physician
  • Sulphur, LA
National Provider Identifier
1881918829
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.205016 Issued in LA
Practice address
1327 Stelly LN Ste 3
Sulphur, LA 70663-5650
Phone
(337) 528-7316
Fax
(337) 528-7884
NPI assigned
Mar 19, 2010
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD.205016 LA Primary

Addresses

Primary practice location

1327 Stelly LN Ste 3
Sulphur, LA 70663-5650

Mailing address

1327 Stelly LN Ste 3
Sulphur, LA 70663-5650
Phone (337) 528-7316

Other practice location 1

921 1st Ave
Sulphur, LA 70663-3424
Phone (337) 527-6385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120420000018 LA Practitioner - Family Practice 4688835556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew T Davies MD LLCGroup PAC ID 7113246927, 2 clinicians

Practice addresses (Care Compare)

1327 Stelly LN
Suite 3
Sulphur, LA 70663-5650
Phone (337) 528-7316

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Andrew T Davies MD LLC Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Mar 1, 2014 Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients
Kenter LLC Past Accepting new patients
Calcasieu Cameron Hospital Service District Family Medicine Past Accepting new patients

Locations

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1114 Stelly Ln
Sulphur, LA 70663
Phone (337) 527-7087

1327 Stelly Ln
Ste 3
Sulphur, LA 70663
Phone (337) 439-2040

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

921 1st Ave
Sulphur, LA 70663
Phone (337) 527-2491

Interoperability endpoints

  • Direct secure messaging: adavies@daviesfamilymedicine.amazing-direct.com
  • Direct secure messaging: andrewdavies@wcchs.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1881918829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 STELLY LN STE 3",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635650",
            "telephone_number": "337-528-7316",
            "fax_number": "337-528-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 STELLY LN STE 3",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635650",
            "telephone_number": "337-528-7316",
            "fax_number": "337-528-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706633424",
            "country_code": "US",
            "telephone_number": "337-527-6385",
            "fax_number": "337-527-3527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ANDREW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.205016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.