Darryl Jerome Davis, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

228926 Issued in LA

Practice address

3516 North Blvd Ste B
Alexandria, LA 71301-3674

Phone

(318) 239-4860

Fax

(805) 295-4715

NPI assigned

Apr 16, 2015

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rapides Primary Health Care Center, IncorporatedGroup PAC ID 3779570973, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 49)

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.

• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1275769119
  Medicare reassignment NPD
• Rapides Primary Health Care Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1568404838
  Care Compare group NPD (past)
• Mary Bird Perkins Cancer Center

  • Clinical Medical Laboratory
  • Baton Rouge, LA
  • NPI 1295833580
  NPD
• Mary Bird Perkins Cancer Center

  dba Mary Bird Perkins Pharmacy Minden

  • Community/Retail Pharmacy
  • Minden, LA
  • NPI 1407492184
  NPD
• Winn Community Health Center, Inc.

  dba Cypress Springs ESBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133459
  NPD
• Winn Community Health Center, Inc.

  dba Lincoln Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1477090959

  Nurse Practitioner

  NPD
• Winn Community Health Center, Inc.

  dba Rosenthal Montessori Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1013605823
  NPD (past)
• Winn Community Health Center, Inc.

  dba Ruby Wise Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Pineville, LA
  • NPI 1063100865
  NPD (past)
• Winn Community Health Center, Inc.

  dba Caroline Dorman Jr High School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Woodworth, LA
  • NPI 1093402059
  NPD (past)
• Winn Community Health Center, Inc.

  dba Glen View ESBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1144103151
  NPD (past)
• Winn Community Health Center, Inc.

  dba Peabody Montessori Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1285498089
  NPD (past)
• Winn Community Health Center, Inc.

  dba Ruston Jr. High SBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133467
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1891182853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4506",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711340506",
            "telephone_number": "318-239-4860",
            "fax_number": "805-295-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 NORTH BLVD STE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013674",
            "telephone_number": "318-239-4860",
            "fax_number": "805-295-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARRYL",
        "middle_name": "JEROME",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "228926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah B Dauzat
• David M. McCoy, M.D., Facs, a Professional Medical Corporation
• David M. Remedios Apmc
• Vanda L Davidson, MD
• Ashley Marie Davis- Guidry, PHARMD
• Emily Davis
• Erika Davis
• Jeanne-Alyce Davis, CAC
• Lauren Davis, PLPC
• Marlo Davis

• Family Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.