| Jimmy W Davis, MD | |
|
101 Stephen J White Blvd, Talladega, AL 35160-2106 | |
| (256) 315-2252 | |
| (256) 362-5959 |
| Full Name | Jimmy W Davis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 101 Stephen J White Blvd, Talladega, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609976265 | NPI | - | NPPES |
| 142299 | Medicaid | AL | |
| 000038905 | Medicaid | AL | |
| 142543 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6666 (Alabama) | Primary |
| Entity Name | Baptist Health Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265496236 PECOS PAC ID: 3476457011 Enrollment ID: O20180124001442 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy W Davis, MD 101 Stephen J White Blvd, Talladega, AL 35160-2106 Ph: (256) 315-2252 | Jimmy W Davis, MD 101 Stephen J White Blvd, Talladega, AL 35160-2106 Ph: (256) 315-2252 |
J Walden Retan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 177 Oak Ridge Ln, Talladega, AL 35160 Phone: 205-266-4928 | |
Anne B. Davis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 North St E, Talladega, AL 35160 Phone: 256-315-2252 Fax: 256-362-1664 | |
Andrew B. Huang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Coosa St E, Talladega, AL 35160 Phone: 256-362-3636 Fax: 256-362-0027 | |
Dr. Uninibile O Odama, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 North Street W, Suite D, Landmark Nephrology And Hypertension Clinic, Talladega, AL 35160 Phone: 256-283-9760 |