A.C. DAVIS M.D. A PROFESSIONAL CORPORATION NPI 1174926315

NPI Information

  • NPI: 1174926315
  • Provider Name: A.C. DAVIS M.D. A PROFESSIONAL CORPORATION
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 69164 HIGHWAY 59
    SUITE 1
    MANDEVILLE, LA
    ZIP 70471
  • Phone: (985) 951-7882

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NPI Details

A.C. DAVIS M.D. A PROFESSIONAL CORPORATION is an addiction medicine internal medicine in Mandeville, LA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. A.C. DAVIS M.D. A PROFESSIONAL CORPORATION NPI is 1174926315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

69164 HIGHWAY 59
SUITE 1
MANDEVILLE, LA
ZIP 70471-782
Phone: (985) 951-7882
Fax: (985) 327-7873

The provider's authorized official is Anna Christine Davis .
The authorized official title is President and has the following contact phone number (985) 951-7882.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 10/2/2014.

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
1207RA0401XInternal MedicineAddiction Medicine013663LOUISIANAYes

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 Other Provider Identifier Issuer
1B63266MEDICARE UPINLOUISIANA
21185116MEDICAIDLOUISIANA

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: 3/30/2025

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