Jerry B Davis, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

26729 Issued in KY

Practice address

320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928

Phone

(502) 625-5584

Fax

(502) 426-2264

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

93.97 of 100Reported as apm

Quality

85.1

Promoting interoperability

94.69

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apollo Medical Group of Jeffersonville LLC

  • Anesthesiology Physician
  • Jeffersonville, IN
  • NPI 1124607205
  Medicare reassignment NPD
• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • Anesthesiology Physician
  • Seymour, IN
  • NPI 1629143037
  Medicare reassignment NPD
• St Claire Medical Center, Inc.,

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535
  Medicare reassignment
• Apollo Medical Group LLC

  • Anesthesiology Physician
  • Rockport, IN
  • NPI 1396179461
  NPD
• Anesthesia Associates of Louisville, PSC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1447200621
  NPD (past)
• U S Anesthesia Partners of Kentucky PSC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1144901042
  NPD (past)
• Seymour Indiana Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Seymour, IN
  • NPI 1124237987
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1992751150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WHITTINGTON PKWY",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224928",
            "telephone_number": "502-625-5584",
            "fax_number": "502-426-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WHITTINGTON PKWY",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224928",
            "telephone_number": "502-625-5584",
            "fax_number": "502-426-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JERRY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01077544A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "26729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64267297",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacalyn Vannessa Davis, KCSA
• Jacob Davis
• Jacqueline Eileen Davis, PA-C
• Jason Davis
• Jennifer Davis, LPCC-S
• Jessica Davis
• Jessica Lynn Davis
• Jill Ligon Davis
• Joshua Tyler Davis, BSN, RN
• Kaitlyn Davis

• Anesthesiology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Anesthesiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.