A.C. DAVIS M.D. A PROFESSIONAL CORPORATION (NPI# 1174926315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174926315 |
| Entity Type | Organization |
| Organization Name | A.C. DAVIS M.D. A PROFESSIONAL CORPORATION |
| Practice Address |
69164 Highway 59 Suite 1 Mandeville LA 70471-7782 |
| Mailing Address |
Po Box 386 Mandeville LA 70470-0386 |
| Practice Telephone | 9859517882 |
| Practice Fax Number | 9853277873 |
| Mailing Telephone | 9859517882 |
| Mailing Fax Number | 9853277873 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | MS. ANNA CHRISTINE DAVIS (PRESIDENT) |
| Authorized Official Telephone | 9859517882 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
013663 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1185116 | 05 |
| Street Address |
69164 HIGHWAY 59 SUITE 1 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-7782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336212729 | Anna Christine Davis | Internal Medicine | 69164 Highway 59, Suite 2, Mandeville, LA 70471-7782 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336212729 | Anna Christine Davis | Internal Medicine | 69164 Highway 59, Suite 2, Mandeville, LA 70471-7782 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477512309 | Kirit S Patel | Internal Medicine | 2120 Bert Kouns Loop, Ste F, Shreveport, LA 71118-3351 | 2006-03-20 |
| 1295391837 | Pathway Healthcare-louisiana, LLC | Internal Medicine | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2019-05-17 |
| 1487141230 | Apex Health LLC | Internal Medicine | 8625 Line Ave Ste E, Shreveport, LA 71106-6107 | 2018-04-17 |
| 1356704357 | Pontchartrain Medical Group, A Professional Corporation | Internal Medicine | 2014 W Pinhook Rd, Suite 301, Lafayette, LA 70508-8504 | 2016-03-29 |
| 1831314905 | James Alfred Chiverton | Internal Medicine | 4933 Wabash St, Metairie, LA 70001-1031 | 2007-04-16 |
| 1598866790 | Allen R Dennis Jr. | Internal Medicine | 3223 8th St, Metairie, LA 70002-1623 | 2006-09-26 |
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on A.C. DAVIS M.D. A PROFESSIONAL CORPORATION.
| 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.