Individual provider Active NPI

James H. Davis, NP

  • Nurse Practitioner
  • White Cloud, MI
National Provider Identifier
1982974143
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704303491 Issued in MI
Practice address
1035 E Wilcox Ave
White Cloud, MI 49349
Phone
(231) 689-5943
Fax
(231) 689-1590
NPI assigned
Jan 5, 2012
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704303491 MI Primary

Addresses

Primary practice location

1035 E Wilcox Ave
White Cloud, MI 49349

Mailing address

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20140324001392 MI Practitioner - Nurse Practitioner 0840453601 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Jun 26, 2017 Accepting new patients
Promed Healthcare CurrentSince May 31, 2020 Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince May 31, 2020 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

6938 Elm Valley Dr
Ste 101
Kalamazoo, MI 49009
Phone (269) 552-4167

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

400 North St W
Tawas City, MI 48763
Phone (989) 362-8645

1241 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-9539

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

711 S Health Parkway
Ste 3
Three Rivers, MI 49093
Phone (269) 273-8557

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1982974143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-876-6527",
            "fax_number": "231-876-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E WILCOX AVE",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "49349",
            "telephone_number": "231-689-5943",
            "fax_number": "231-689-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "H.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704303491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Cloud, MI

Sources for this page

Verify at the official NPI Registry.