Jeremy Payne Davis (NPI# 1386997351, PAC ID# 3274783170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386997351 |
| PAC ID by PECOS | 3274783170 |
| Professional Enrollment ID | I20121031000427 |
| Full Name | Jeremy Payne Davis |
| Organization Legal Name | GASTROINTESTINAL SPECIALISTS A M C |
| Address |
3217 Mabel St Shreveport LA 71103-4022 |
| Phone Number | 3186319121 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547245086 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| 190144 | MINDEN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3217 Mabel St, Shreveport, LA 71103-4022 | 3186319121 | GASTROINTESTINAL SPECIALISTS A M C |
| 8383 Millicent Way, Suite B, Shreveport, LA 71115-5207 | 3186319121 | GASTROINTESTINAL SPECIALISTS A M C |
| Organization Legal Name | GASTROINTESTINAL SPECIALISTS A M C |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Hebert | Nurse Practitioner | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| David Frank Dies | Gastroenterology | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| John Mark Provenza | Gastroenterology | Gastrointestinal Specialists A M C | 8383 Millicent Way, Suite B, Shreveport, LA 71115-5207 |
| Mary K Hire | Nurse Practitioner | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| David Miller Philips | Gastroenterology | Gastrointestinal Specialists A M C | 8383 Millicent Way, Suite B, Shreveport, LA 71115-5207 |
| James C Hobley | Gastroenterology | Gastrointestinal Specialists A M C | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Seth Wayne Miller | Physician Assistant | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Humberto Isidro Aguilar | Gastroenterology | Gastrointestinal Specialists A M C | 8383 Millicent Way, Suite B, Shreveport, LA 71115-5207 |
| Douglas Edward Rimmer Jr. | Gastroenterology | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Winde R Chambers | Nurse Practitioner | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Street Address |
3217 MABEL ST |
| City | SHREVEPORT |
| State | LA |
| Zip | 71103-4022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Meynard | Certified Registered Nurse Anesthetist (crna) | Shreveport Sedation Associates, LLC | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Heather A Hebert | Nurse Practitioner | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| David Frank Dies | Gastroenterology | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Lauren R Edwardes | Certified Registered Nurse Anesthetist (crna) | Shreveport Sedation Associates, LLC | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Mary K Hire | Nurse Practitioner | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Russell A Slack | Certified Registered Nurse Anesthetist (crna) | Shreveport Sedation Associates, LLC | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Seth Wayne Miller | Physician Assistant | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Douglas Edward Rimmer Jr. | Gastroenterology | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Winde R Chambers | Nurse Practitioner | Gastrointestinal Specialists A M C | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Jerry G Thomas Jr. | Certified Registered Nurse Anesthetist (crna) | Shreveport Sedation Associates, LLC | 3217 Mabel St, Shreveport, LA 71103-4022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sophia Tayebeh Shokouh-amiri | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tiffany George | Nurse Practitioner | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tymwa Dixon | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| James P Swearingen Jr. | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Stephen W Lewis | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Margaret A Wheat- Sipes | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Janusz Luka | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| David D Bryan | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Wyche Coleman Iii | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Christopher L Shelby | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Find all physicians in zip 71103 | |||
| City | SHREVEPORT |
| Zip Code | 71103 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHREVEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeremy Payne Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.