WOODY D. DAVIS (NPI# 1154423804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154423804 |
| Entity Type | Individual |
| Full Name | WOODY D. DAVIS |
| Credential | M.D. |
| Practice Address |
5002 Highway 39 N Bldg. B Meridian MS 39301-1078 |
| Mailing Address |
408 Windover Cir Meridian MS 39305-2023 |
| Practice Telephone | 6014837331 |
| Practice Fax Number | 6014833721 |
| Mailing Telephone | 6014834338 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 05260 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 8525 | 05 | |
| MS | 13247 | 05 |
| Street Address |
5002 HIGHWAY 39 N BLDG. B |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639530454 | Ms Eye Care Pa | Optometrist | 5002 Highway 39 N, Building B, Meridian, MS 39301-1078 | 2016-03-08 |
| 1437536380 | Nurse Anesthesia Services of Meridian LLC | Nurse Anesthetist, Certified Registered | 5002 Highway 39 N, Building D, Meridian, MS 39301-1078 | 2015-04-29 |
| 1497162846 | David A Otto | Optometrist | 5002 Highway 39 N, Building B, Meridian, MS 39301-1078 | 2014-07-17 |
| 1538503222 | Audrey Thompson Otto | Optometrist | 5002 Highway 39 N, Building B, Meridian, MS 39301-1078 | 2013-04-24 |
| 1356557755 | Meridian Plastic Surgery Pa | Specialist | 5002 Highway 39 N, Meridian, MS 39301-1078 | 2007-05-15 |
| 1184724718 | Mark Steven Elliott | Specialist | 5002 Highway 39 N, Meridian, MS 39301-1078 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821486812 | Tami Sue Lee | Specialist | 841 E Fairview Ave Ste 100, Meridian, ID 83642-9386 | 2014-12-29 |
| 1164822029 | Robert Francis Malison | Specialist | 3975 E Clocktower Ln Apt 326, Meridian, ID 83642-9141 | 2014-08-28 |
| 1073788337 | Cheree L Eveland | Specialist | 3455 Woodmont Dr, Meridian, ID 83646-1166 | 2008-04-28 |
| 1952504623 | Benjamin Edgar Box | Specialist | 4807 11th Pl, Meridian, MS 39305-2771 | 2007-06-08 |
| 1669594974 | Mark Garry Murray | Specialist | 1400 20th Ave Ste C, Meridian, MS 39301-4103 | 2007-04-06 |
| 1811081896 | Adam M Cope | Specialist | 2176 E Franklin Rd, Suite 100, Meridian, ID 83642-9024 | 2006-10-03 |
| 1366536609 | Charles Guy Riddle | Specialist | 1626 S Wells Ave Ste 105, Meridian, ID 83642-4528 | 2006-10-03 |
| 1043318280 | Lee Kinsey Thornton | Specialist | 5002 Highway 39 N Bldg C, Meridian, MS 39301-1078 | 2006-09-20 |
| 1144275694 | Robert Lantz Davidson | Specialist | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2006-05-23 |
| 1306819297 | Donald S Davis | Specialist | 5002 Hwy 39 N, Bldg A, Meridian, MS 39301-1078 | 2006-02-10 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.