JUSTIN R DAVIS (MD) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1629282496
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
Provider Addresses for JUSTIN R DAVIS (MD)
4015 22nd Pl
Lubbock, TX 794101119
Phone: (806) 725-0030
Fax: (806) 725-0015
Type: Location
2500 N State St
Jackson, MS 392164500
Phone: (601) 984-2195
Type: Location
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 731044637
Phone: (405) 271-2429
Type: Location
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
JACKSON, MS 392164500
Phone: (601) 984-2195
Type: Mailing
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: 2024-10-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230227002946 | I | Pediatric Medicine | TX | TBD |
| I20241008001669 | I | Pediatric Medicine | OK | TBD |
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.
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 79410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Emergency Medicine | TX | |
| - | LA | |
| Emergency Medicine | TX | |
| - | TX | |
| - | CO | |
| Pediatric Medicine, Emergency Medicine | MO | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX |
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