KENT M. DAVIS MD – NPI #1548259179
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

KENT DAVIS is a physician located in TYLER, TX. NPPES has assigned the NPI number 1548259179 to KENT DAVIS on October 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 3 years ago on Sep 11, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENT DAVIS below.

NPI Profile for
KENT M. DAVIS

NPI Number
1548259179
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENT M. DAVIS
Credentials
MD
Primary location
8288 S BROADWAY AVE
TYLER, TX 75703
Phone: (903) 606-7060 Fax:
2 Other location(s):
701 E Marshall Ave Ste 400
Longview, TX 75601-5595
Phone: (903) 315-5600
8288 S Broadway Ave
Tyler, TX 75703
Phone: (903) 606-7060
Mailing address
PO BOX 846098
DALLAS, TX 75284-6098
Phone: (903) 324-6400 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 11, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KENT DAVIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARETX709790
otherMEDICARE RAIL ROADTXP02095992
medicaidTX106108703
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 TX H5863
207R00000X
- Internal Medicine		 TX H5863

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER - Graduated 1982
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KENT DAVIS is affiliated with the following medical group(s):
  • HOSPITAL
    • CHRISTUS GOOD SHEPHERD MEDICAL CENTER
      700 E MARSHALL AVE
      LONGVIEW, TX 75601
    • CHRISTUS MOTHER FRANCES HOSPITAL
      800 EAST DAWSON
      TYLER, TX 75701
  • NURSING HOME
    • CANTON OAKS
      1901 S TRADE DAYS BLVD
      CANTON, TX 75103
    • COLONIAL NURSING & REHABILITATION CENTER
      508 PIERCE ST
      LINDALE, TX 75771
    • LEGACY AT JACKSONVILLE
      810 BELLAIRE ST.
      JACKSONVILLE, TX 75766
    • PARK PLACE NURSING & REHABILITATION CENTER
      2450 E FIFTH ST
      TYLER, TX 75701
    • THE CENTER AT GRANDE
      3219 EAST GRANDE BOULEVARD
      TYLER, TX 75707
  • HOSPICE
    • HEART TO HEART HOSPICE OF TYLER LTD
      7925 S BROADWAY AVENUE SUITE 1140
      TYLER, TX 75703
    • HOSPICE OF EAST TEXAS
      4111 UNIVERSITY BLVD
      TYLER, TX 75701

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