MR. M JASON RANDAL DAVIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164793584

MR. M JASON RANDAL DAVIS (CRNA) is a healthcare provider. based in Mobile, Alabama. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 1-100347 (AL). The NPI Number for MR. M JASON RANDAL DAVIS (CRNA) is 1164793584

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. M JASON RANDAL DAVIS (CRNA)
NPI
1164793584
Phone
(251) 404-7127
Address
9631 CHEYNEY CT
Enumeration Date
17 January 2012
Last Update Date
17 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2513449630
Graduation Year
2003 (23 years ago)
PAC ID
3678731171
Group Practice PAC ID
6204081292
Professional Enrollment ID
I20120229000448
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MR. M JASON RANDAL DAVIS (CRNA)

  • 9631 CHEYNEY CT

    MOBILE, AL 366957453

    Phone: (251) 404-7127

    Type: Mailing

  • 2451 FILLINGIM ST

    MOBILE, AL 366172238

    Phone: (251) 471-7045

    Fax: (251) 471-7042

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120229000448ICertified Registered Nurse Anesthetist (Crna)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36695)

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Provider's Procedures

MR. M JASON RANDAL DAVIS (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETAL00142Anesthesia for lens surgery3633

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204081292View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MA
-MS
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL
-AL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YFL
-AL

Reviews

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Frequently asked questions

Does MR. M JASON RANDAL DAVIS (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. M JASON RANDAL DAVIS (CRNA) uses 1164793584.
Does the file indicate MR. M JASON RANDAL DAVIS (CRNA) is practicing under active NPI?
Directory data currently reports MR. M JASON RANDAL DAVIS (CRNA) as active.
What is MR. M JASON RANDAL DAVIS (CRNA) best known for clinically?
Directory data describes MR. M JASON RANDAL DAVIS (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does MR. M JASON RANDAL DAVIS (CRNA) serve?
MR. M JASON RANDAL DAVIS (CRNA)'s listing highlights Mobile, Alabama; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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