Tabitha Elizabeth Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3739 Issued in TN

Practice address

3075 Goodman Rd E Ste 3
Southaven, MS 38672-6358

Phone

(662) 302-3828

NPI assigned

May 3, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2024.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1922855253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 GOODMAN RD E STE 3",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726358",
            "telephone_number": "662-302-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 GOODMAN RD E STE 3",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726358",
            "telephone_number": "662-302-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TABITHA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1380",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Davis, FNP
• Michelle Davis
• Pamela Lynn Davis, PAC
• Shaniqua Davis, CCC-SLP
• Shirley T Davis, RDN LD
• Radhi Daya, OD
• DC Direct
• De Soto Smiles Family Dentistry
• Casey Rae De Vito, LPC
• Roger L Decker, AGACNP-BC

• All providers in Southaven, MS
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.