MICHAEL L DAVIS MD NPI 1033147442

NPI Information

NPI: 1033147442
Provider Name: MICHAEL L DAVIS, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
2100 HIGHWAY 61 N
VICKSBURG, MS
ZIP 39183
Phone: (601) 630-9755
Get Directions

Michael L Davis, MD is a nephrology internal medicine in Vicksburg, MS. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Michael L Davis, MD NPI is 1033147442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 HIGHWAY 61 N
VICKSBURG, MS
ZIP 39183-211
Phone: (601) 630-9755

The NPI 1033147442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 1/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	10165R	LOUISIANA	No
2	207RN0300X	Internal Medicine	Nephrology	08327	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1319422	MEDICAID	LOUISIANA
2	00116318	MEDICAID	MISSISSIPPI
3	512I390012	MEDICARE PIN	MISSISSIPPI
4	B66103	MEDICARE UPIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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