DR. MICHAEL DOUGLAS JR. DAVIS (D.O.) – Hospitalist Physician, NPI 1063866135

DR. MICHAEL DOUGLAS JR. DAVIS (D.O.) is a healthcare provider. based in De kalb, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. E-12166 (AR). The NPI Number for DR. MICHAEL DOUGLAS JR. DAVIS (D.O.) is 1063866135

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DOUGLAS JR. DAVIS (D.O.)
NPI
1063866135
Phone
(903) 826-5753
Address
560 COUNTY ROAD 4259
Enumeration Date
14 April 2016
Last Update Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5014082429
Graduation Year
2016 (10 years ago)
PAC ID
4981932282
Group Practice PAC ID
5597195206
Professional Enrollment ID
I20190824000178
Address ID
AR720153745BE5XXXXDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

Provider Addresses for DR. MICHAEL DOUGLAS JR. DAVIS (D.O.)

  • 560 COUNTY ROAD 4259

    DE KALB, TX 755595687

    Phone: (903) 826-5753

    Type: Mailing

  • 1808 W Main St

    Russellville, AR 728012724

    Phone: (479) 964-4178

    Fax: (479) 964-5910

    Type: Location

  • Unity Health, 3214, East Race Avenue, Searcy, White County, Arkansas, 72143, United States

    SEARCY, AR 721434810

    Phone: (903) 826-5753

    Type: Location

  • 7310 PALM BEACH AVE

    BENTON, AR 720191849

    Phone: (501) 507-2324

    Type: Mailing

  • 5 MEDICAL PARK DR STE 304

    BENTON, AR 720153745

    Phone: (501) 507-2324

    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: 2019-08-24

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
I20190824000178IInternal MedicineARTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes307153$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes264140$0
99239Hospital discharge day management, more than 30 minutes187173$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes170166$0
99238Hospital discharge day management, 30 minutes or less151147$0
View full utilization report →

Insurance plans in this area (ZIP 75559)

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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: 5597195206View full group profile
NameSpecialtyState
Internal MedicineAR
Internal MedicineAR
Internal MedicinePA
Nurse PractitionerAR
Internal MedicineAR
Nurse PractitionerAR
Nurse PractitionerAR
Internal Medicine, Pediatric MedicineAR
Physician AssistantAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What number should I use to identify DR. MICHAEL DOUGLAS JR. DAVIS (D.O.) for billing?
Administrative and clinical systems typically use NPI 1063866135 for DR. MICHAEL DOUGLAS JR. DAVIS (D.O.).
Does the public listing show DR. MICHAEL DOUGLAS JR. DAVIS (D.O.) as active?
DR. MICHAEL DOUGLAS JR. DAVIS (D.O.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. MICHAEL DOUGLAS JR. DAVIS (D.O.)'s specialty?
The extract shows Hospitalist Physician for DR. MICHAEL DOUGLAS JR. DAVIS (D.O.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MICHAEL DOUGLAS JR. DAVIS (D.O.)?
DR. MICHAEL DOUGLAS JR. DAVIS (D.O.) is associated with De Kalb, Texas in the same public data insurers reference.
Why is information missing for DR. MICHAEL DOUGLAS JR. DAVIS (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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