James H. Davis, NP
Individual provider Active NPI Nurse Practitioner · White Cloud, MI
NPI 1982974143 · NPPES record last updated Aug 21, 2018
Key facts
- NPI
- 1982974143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704303491 (MI)
- Practice address
- 1035 E Wilcox Ave
White Cloud, MI 49349 - Phone
- (231) 689-5943
- Fax
- (231) 689-1590
- NPI assigned
- Jan 5, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324001392 | MI | Practitioner - Nurse Practitioner | 0840453601 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704303491 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Nurse Practitioner | Current |
Accepting new patients |
| Promed Healthcare | Current |
Accepting new patients | |
| Bronson Methodist Hospital | Current |
Accepting new patients | |
| Ascension Medical Group Promed | Current |
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
6938 Elm Valley Dr
Ste 101
Kalamazoo, MI 49009
Phone (269) 552-4167
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
400 North St W
Tawas City, MI 48763
Phone (989) 362-8645
711 S Health Parkway
Ste 3
Three Rivers, MI 49093
Phone (269) 273-8557
711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557
1241 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-9539
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704303491 | MI | Yes |
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
Other providers in White Cloud, MI
- Kaitlyn Cool
- Tammy Jane Cornelius
- Crisma Coronado
- County of Newaygo
- Roni M Crisman
- Stephen Dehaan
- Paige Deitering
- Jennifer Deja
- Toni Dejohn
- Emily Elizabeth Derks
All providers in White Cloud, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2018. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.