DR. TABITHA DAVIES (DO) – Student in an Organized Health Care Education/Training Program, NPI 1174938609

DR. TABITHA DAVIES (DO) is a healthcare provider. based in Rogers, Arkansas. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. E-19787 (AR). The NPI Number for DR. TABITHA DAVIES (DO) is 1174938609

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. TABITHA DAVIES (DO)
NPI
1174938609
Phone
(479) 282-2737
Address
5302 W VILLAGE PKWY STE 3
Enumeration Date
23 June 2014
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
3375847288
Group Practice PAC ID
8123923497
Professional Enrollment ID
I20200625001649
Address ID
TX790452820HE540XXSTXX400

Contacts

Main Contact
drtabithafmdo@gmail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness95
Years active:11State licenses:2Other names

1,499 FAMILY PRACTICE in AR

Provider Addresses for DR. TABITHA DAVIES (DO)

  • 5302 W VILLAGE PKWY STE 3

    ROGERS, AR 727588139

    Phone: (479) 282-2737

    Type: Mailing

  • 540 W 15TH ST

    HEREFORD, TX 790452820

    Phone: (806) 364-2141

    Fax: (844) 742-8369

    Type: Mailing

  • 4095 AMERICAN WAY

    SUITE 1

    MEMPHIS, TN 381188339

    Phone: (901) 271-9500

    Type: Location

  • 210 N Texas St

    Hereford, TX 790454228

    Phone: (512) 784-9799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Dexcom, Inc. ($24).

Total Amount

$69

General + Research + Ownership

Payments

3

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181012002310IFamily PracticeTNTBD
I20200625001649IFamily PracticeTXTBD

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 72758)

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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: 8123923497View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Diagnostic RadiologyIN
Nurse PractitionerTX
-TX
Nurse PractitionerPA

Reviews

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Frequently asked questions

What identifier follows DR. TABITHA DAVIES (DO) across health systems?
The NPI 1174938609 uniquely identifies DR. TABITHA DAVIES (DO) in U.S. healthcare data.
Is DR. TABITHA DAVIES (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. TABITHA DAVIES (DO) as active.
What services align with DR. TABITHA DAVIES (DO)'s listing?
DR. TABITHA DAVIES (DO)'s public classification highlights Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is DR. TABITHA DAVIES (DO) tied to Rogers, Arkansas?
If you are local to Rogers, Arkansas, DR. TABITHA DAVIES (DO) may be relevant to your search.
Why is information missing for DR. TABITHA DAVIES (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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