JERRY DAVIS (NPI# 1457323560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457323560 |
| Entity Type | Individual |
| Full Name | JERRY DAVIS |
| Credential | LMHC |
| Practice Address |
1530 Commerce Park West Drive Greensburg IN 47240 |
| Mailing Address |
720 N Marr Rd Columbus IN 47201-6660 |
| Practice Telephone | 8126637057 |
| Practice Fax Number | 8123788367 |
| Mailing Telephone | 8123143400 |
| Mailing Fax Number | 8123788367 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39001542A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000000321018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821179003 | Jerry Thomas Davis | Family Medicine | 6302 A Jacksboro Hwy, Fort Worth, TX 76135-3602 | 2006-10-17 |
| 1356357495 | Jerry Wayne Davis | General Acute Care Hospital | 2715 Avenue N, Nederland, TX 77627-7814 | 2006-07-31 |
| 1578046538 | Jerry L Davis Jr. | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2018-09-14 |
| 1306298591 | Jerry Davis | Counselor | 3401 Eudora St, Denver, CO 80207-2500 | 2016-07-12 |
| 1699083436 | Jerry Heath Davis | Pharmacist | 120 Carbon City Rd, Morganton, NC 28655-4226 | 2010-09-15 |
| 1225365265 | Jerry Bernard Davis | Pharmacist | 6551 Forest Hill Dr, Forest Hill, TX 76140-1205 | 2009-11-12 |
| 1932300563 | Jerry Davis | Counselor | 348 13th St, Brooklyn, NY 11215-5004 | 2007-05-30 |
| 1912045683 | Jerry Davis | Pharmacist | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-02 |
| 1639220684 | Jerry Carl Davis | Pharmacist | 110 W 2nd St, Kenly, NC 27542 | 2007-01-16 |
| 1114003597 | Jerry Robert Davis | Dentist | 494 S Emerson Ave, Suite K, Greenwood, IN 46143-1912 | 2006-10-28 |
| Street Address |
1530 COMMERCE PARK WEST DRIVE |
| City | GREENSBURG |
| State | IN |
| Zip Code | 47240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437280989 | Quinco Consulting Center Inc | Clinic/Center | 1530 Commerce Park West Drive, Greensburg, IN 47240 | 2007-03-08 |
| 1619020526 | Casey L Miller | Social Worker | 1530 Commerce Park West Drive, Greensburg, IN 47240 | 2007-01-22 |
| 1730157108 | Donna Taylor | Social Worker | 1530 Commerce Park West Drive, Greensburg, IN 47240 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596135 | Daniel Joseph Jennings | Physician Assistant | 545 Nw Santee Drive, Greensbrug, IN 47240 | 2020-07-31 |
| 1245694413 | Accudoc Inc PC | Family Medicine | 2311 N St Rd 3, Greensburg, IN 47240 | 2016-04-13 |
| 1679848832 | Kati Rose Huffman | Physical Therapy Assistant | 950 North Lakeview Drive, Greensburg, IN 47240 | 2012-03-20 |
| 1588931786 | Tracy Springmeyer | Pharmacist | 2215 North State Road 3, Greensburg, IN 47240 | 2011-11-17 |
| 1720360175 | Callie Tamm | Pharmacist | 2215 North State Road Three, Greensburg, IN 47240 | 2011-09-12 |
| 1447457742 | Total Renal Care Inc | Clinic/Center | 1531 N Commerce East Dr Ste 6, Greensburg, IN 47240 | 2007-06-29 |
| 1508084237 | Johanna Dawn Painter | Speech-Language Pathologist | 7782 W. State Rd 46, Greensburg, IN 47240 | 2007-04-20 |
| 1083759617 | Kederick A Meyers | Family Medicine | 955 N Michigan Avenue, Greensburg, IN 47240 | 2007-02-21 |
| 1275615213 | David Charles Harp | Chiropractor | 1570 Commerce Dr West, Suite 3, Greensburg, IN 47240 | 2006-10-19 |
| 1750475604 | Carrie Ann Schlotter | Optometrist | 1204 N Lincoln St, Greensburg, IN 47240 | 2006-10-03 |
| Find all providers in zip 47240 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475207 | Heal To Grow | Counselor | 2 Garden Center Dr Ste 101a, Greensburg, PA 15601-1351 | 2020-04-03 |
| 1528624590 | Sage Wellness Center, Inc | Counselor | 362 Sand Hill Rd Ste 8, Greensburg, PA 15601-7599 | 2019-05-15 |
| 1932667110 | Courtney Wittmer | Counselor | 1530 Commerce Park Drive West, Greensburg, IN 47240-3205 | 2019-03-07 |
| 1548731086 | Sarah Jane Ludwig | Counselor | 917 Arberdeen Dr, Greensburg, PA 15601-3966 | 2018-12-10 |
| 1710454418 | Beulah Yolanda Varnado | Counselor | 33 Church Rd, Greensburg, LA 70441 | 2018-10-31 |
| 1659814093 | Daranecia Griffin | Counselor | 3284 Highway 1042, Greensburg, LA 70441-4249 | 2016-12-01 |
| 1336502806 | Claire Campero | Counselor | One Northgate Square Ste 200, Greensburg, PA 15601 | 2016-04-01 |
| 1255626677 | Stephen Frank Kuniak | Counselor | 255 Humphrey Rd., Greensburg, PA 15601 | 2011-06-14 |
| 1811290620 | Jonelle Lee Hanawalt | Counselor | 521 Plymouth St., Wesley Spectrum Services, Greensburg, PA 15601 | 2010-12-16 |
| 1700104890 | Kelly Anne Hines | Counselor | One Corporate Circle, Greensburg, PA 15601-9700 | 2010-05-13 |
| Find all providers in GREENSBURG | ||||
| City | GREENSBURG |
| Zip Code | 47240 |
Please comment or provide details below to improve the information on JERRY DAVIS.
| 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.