LOUIS DAVIS (N.P.) – Nurse Practitioner, NPI 1629511639

LOUIS DAVIS (N.P.) is a healthcare provider. based in Livonia, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 4704270741 (MI). The NPI Number for LOUIS DAVIS (N.P.) is 1629511639

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
LOUIS DAVIS (N.P.)
NPI
1629511639
Phone
(734) 552-3790
Address
30810 GREENLAND ST
Enumeration Date
22 November 2016
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489645111
Graduation Year
2016 (10 years ago)
PAC ID
6507221959
Group Practice PAC ID
3072875889
Professional Enrollment ID
I20230508002387
Address ID
MI480851117TR44201ECXX401

Contacts

Secure Messaging
ldavis123269@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for LOUIS DAVIS (N.P.)

  • Greenland, Livonia, Wayne County, Michigan, 48154, United States

    LIVONIA, MI 481543230

    Phone: (734) 552-3790

    Type: Mailing

  • Beaumont Hospital, Wayne, 33155, Annapolis Street, Wayne, Wayne County, Michigan, 48184, United States

    WAYNE, MI 481842405

    Phone: (734) 467-4000

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 10000 TELEGRAPH RD

    TAYLOR, MI 481803330

    Phone: (313) 295-5360

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-10-13 • Largest payer in this snapshot: Novo Nordisk Inc ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$48
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: 2023-05-08

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
I20230508002387INurse PractitionerMITBD

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 48154)

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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: 3072875889View full group profile
NameSpecialtyState
-MI
Interventional Radiology, Diagnostic RadiologyMI
-MI
-MI
Diagnostic RadiologyMI
Family PracticeMI
-MI
P A T H O L O G YMI
-MI
Emergency MedicineCA

Reviews

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Frequently asked questions

Does LOUIS DAVIS (N.P.) have a public NPI I can cite?
Public records show LOUIS DAVIS (N.P.) under NPI 1629511639.
Does the public listing show LOUIS DAVIS (N.P.) as active?
LOUIS DAVIS (N.P.)'s NPI record reflects an active status in NPPES.
Which specialty label fits LOUIS DAVIS (N.P.)?
NPPES ties LOUIS DAVIS (N.P.) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to LOUIS DAVIS (N.P.)?
The directory associates LOUIS DAVIS (N.P.) with Livonia, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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