DAVID AMOS (M.D.) – Internal Medicine Physician, NPI 1245679364

DAVID AMOS (M.D.) is a healthcare provider. based in Jackson, Mississippi. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 390200000 (VA). The NPI Number for DAVID AMOS (M.D.) is 1245679364

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DAVID AMOS (M.D.)
NPI
1245679364
Phone
(601) 376-2022
Address
1850 CHADWICK DR
Enumeration Date
21 June 2013
Last Update Date
11 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7578896890
Graduation Year
2012 (14 years ago)
PAC ID
4385944982
Group Practice PAC ID
3173955671
Professional Enrollment ID
I20180821002819
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for DAVID AMOS (M.D.)

  • 1850 CHADWICK DR

    JACKSON, MS 392043404

    Phone: (601) 376-2022

    Type: Mailing

  • 825 FAIRFAX AVE STE 429

    NORFOLK, VA 235071914

    Phone: (757) 446-7356

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2018-08-21

PECOS data refreshed: 2026-06-15

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
I20171011000570IInternal MedicineMSTBD
I20180821002819IFamily PracticeVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 39204)

Loading plans...

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: 3173955671View full group profile
NameSpecialtyState
Family PracticeOH
-VA
N E U R O L O G YGA
Hospitalist, Internal MedicineVA
Interventional Cardiology, Cardiovascular Disease (Cardiology)VA
-VA
-VA
-VA
-VA
-MD

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify DAVID AMOS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1245679364 for DAVID AMOS (M.D.).
Should I treat DAVID AMOS (M.D.) as an active provider?
Patients and plans typically see DAVID AMOS (M.D.) as active in the national extract.
Which specialty label fits DAVID AMOS (M.D.)?
NPPES ties DAVID AMOS (M.D.) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DAVID AMOS (M.D.)?
The directory associates DAVID AMOS (M.D.) with Jackson, Mississippi. 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.

Similar Providers

DR. IMAD TAHBOUB (MD)

Internal Medicine Physician
PO BOX 22727
NPI: 1669468336

MARK E WILSON (MD)

Gastroenterology Physician
2510, Lakeland Drive, Flowood, Rankin County, Mississippi, 39232, United States
NPI: 1184612368

SADEKA TAMANNA (M.D.)

Internal Medicine Physician
G.V. (Sonny) Montgomery VA Medical Center, 1500, East Woodrow Wilson Avenue, Jackson, Hinds County, Mississippi, 39216, United States
NPI: 1740264035

MOHAMMAD IFTEKHAR ULLAH (MD)

Sleep Medicine (Internal Medicine) Physician
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
NPI: 1659355949

Unknown Individual

Internal Medicine Physician
350, West Woodrow Wilson Avenue, Jackson, Hinds County, Mississippi, 39209, United States
NPI: 1881673648

JAMES T PEOPLES (MD)

Internal Medicine Physician
PO BOX 23996
NPI: 1588634760

DENISE LYNN HARKINS (MD)

Internal Medicine Physician
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
NPI: 1124094453

CHARLES E. EWOH (M.D.)

Internal Medicine Physician
PO BOX 22727
NPI: 1114994621