Dr. Dereck Davis
Pediatrics | Male
Dr. Dereck Davis is a Jackson, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Dereck Davis is
2600 N State St, Jackson, Mississippi - 39216-4301. He can be contacted on phone at
601-984-5220 and fax number 601-984-5279.
Dr. Dereck Davis is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Dereck Davis is
1174567580 which was assigned by NPPES on 15 Jun, 2006 and it was last updated on 11 Aug, 2014.
Dr. Dereck Davis license number is
18418 for Pediatrics (208000000X) in Mississippi.
Dr. Dereck Davis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Dereck Davis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Dereck Davis |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Dereck Davis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2600 N State St
Jackson, MS, 39216-4301
United States |
|---|
| Phone Number : | 601-984-5220 |
|---|
| Fax Number : | 601-984-5279 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174567580 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 15 Jun, 2006 |
|---|
| Last Updated On : | 11 Aug, 2014 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dereck Davis are as mentioned. Primary taxonomy code for Dr. Dereck Davis is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2007-00180 | NC |
| 208000000X | Pediatrics | Yes | 18418 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Dereck Davis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02170804 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2600 N State St
Jackson, MS, 39216-4301
United States |
|---|
| Phone Number : | 601-984-5220 |
|---|
| Fax Number : | 601-984-5279 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Dereck Davis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.