JEREMY DAVIS MHPP
NPI 1063694677
Case Manager/Care Coordinator in Little Rock, AR

NPI Status: Active since December 05, 2007

Contact Information

11321 INTERSTATE 30
SUITE 104
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 315-3344

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  • Individual
  • Male
  • Case Manager/Care Coordinator

About JEREMY DAVIS

This page provides the complete NPI Profile along with additional information for Jeremy Davis, a provider established in Little Rock, Arkansas with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1063694677 assigned on December 2007. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1063694677
Provider Name
JEREMY DAVIS MHPP
Gender
Male
Entity Type
Individual
Location Address
11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209
Location Phone
(501) 315-3344
Mailing Address
11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209
Mailing Phone
(501) 315-3344
Is Sole Proprietor?
No
Enumeration Date
12-05-2007
Last Update Date
01-13-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063694677
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231298614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 9 + 8 + 6 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1063694677 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548265572DR. AHMED T ABDELAL M.D.
Individual
Internal Medicine11321 INTERSTATE 30 STE 308
LITTLE ROCK, AR 72209
(501) 455-7021
1619974599DR. CHRISTOPHER LEIGH JOHN MD
Individual
Internal Medicine (Critical Care Medicine)11321 INTERSTATE 30 STE 306
LITTLE ROCK, AR 72209
(501) 407-0200
1336122340OTTER CREEK FAMILY CLINIC PLLC
Organization
Internal Medicine11321 INTERSTATE 30 STE 101
LITTLE ROCK, AR 72209
(501) 455-1331
1831161215 KATHREEN D THESSING RNP
Individual
Nurse Practitioner11321 INTERSTATE 30 SUITE 201
LITTLE ROCK, AR 72209
(501) 455-4700
1053348870DR. STEPHEN SNYDER MD
Individual
Internal Medicine11321 INTERSTATE 30 SUITE 101
LITTLE ROCK, AR 72209
(501) 455-1331
1184765315KONDO ENTERPRISES CORP
Organization
Pharmacist11321 INTERSTATE 30 SUITE 102
LITTLE ROCK, AR 72209
(501) 353-2136
1356537666J. MICHAEL CARNEY, MD, PLLC
Organization
Dermatology11321 INTERSTATE 30 SUITE 201
LITTLE ROCK, AR 72209
(501) 455-4700
1841472149CHRISTOPHER L. JOHN
Organization
Specialist11321 INTERSTATE 30 SUITE 306
LITTLE ROCK, AR 72209
(501) 407-0200
1265767271MR. JAY CHARLES STAKE MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 202-7587
1720313737MR. BOYD CLINTON GOODNER MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 202-7587
1780919787MR. COLBY AARON LADD MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 202-7587
1952695843 ERIK TYLER JERNIGAN
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1306131552 SHANNON BROOKE EARLEY
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1295020303 ASHLEY NICOLE BALL
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1538455589 GLORIA STEVENS MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1235426016 REBECCA MCCUTCHEON MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1053609925 TONYA LEIGH SCRIMSHIRE MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1700931755DR. MEENAKSHI BUDHRAJA MD
Individual
Internal Medicine (Gastroenterology)11321 INTERSTATE 30 SUITE 100
LITTLE ROCK, AR 72209
(501) 407-2036
1780076380DIGESTIVE WELLNESS CLINIC, PLLC
Organization
Internal Medicine (Gastroenterology)11321 INTERSTATE 30 STE. 100
LITTLE ROCK, AR 72209
(501) 407-2036
1851765820MRS. MEGHAN CANTLON DIXON R.D
Individual
Dietitian, Registered11321 INTERSTATE 30 STE 100
LITTLE ROCK, AR 72209
(501) 407-2036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063694677, enumerated in the NPI registry as an "individual" on December 05, 2007

The provider is located at 11321 Interstate 30 Suite 104 Little Rock, Ar 72209 and the phone number is (501) 315-3344

The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X

This NPI record was last updated on December 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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