JOHN CLAYTON DAVIDSON I MD
NPI 1871235994
Student in an Organized Health Care Education/Training Program in Jackson, MS
NPI Status: Active since April 09, 2022
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About JOHN DAVIDSON
This page provides the complete NPI Profile along with additional information for John Davidson, a primary care provider established in Jackson, Mississippi with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1871235994 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1871235994
- Provider Name
- JOHN CLAYTON DAVIDSON I MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2500 N STATE ST JACKSON, MS 39216
- Location Phone
- (601) 984-1000
- Mailing Address
- 904 MONTROSE DR RIDGELAND, MS 39157
- Mailing Phone
- (601) 624-1933
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-09-2022
- Last Update Date
- 04-09-2022
- Code Navigator
A primary care provider (PCP) like John Davidson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
John Davidson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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. | |||||||||
| 1 | 8 | 7 | 1 | 2 | 3 | 5 | 9 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 4 | 3 | 10 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 4 + 3 + 1 + 0 + 9 + 1 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1871235994 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1477556231 | UNIVERSITY OPHTHALMOLOGY ASSOCIATES Organization | Ophthalmology | 2500 N STATE ST STE B329 JACKSON, MS 39216 (601) 815-3931 |
| 1770580961 | DR. BRIAN L CRABTREE PHARM.D. Individual | Pharmacist (Psychiatric) | 2500 N STATE ST JACKSON, MS 39216 (601) 351-8013 |
| 1699761064 | STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER Organization | Rehabilitation Unit | 2500 N STATE ST JACKSON, MS 39216 (866) 842-7574 |
| 1760453823 | DR. JEFFERY D CARRON MD Individual | Otolaryngology | 2500 N STATE ST DEPARTMENT OF OTOLARYNGOLOGY JACKSON, MS 39216 (601) 984-5160 |
| 1164499109 | DR. BARRY SAUL RUBEL D.M.D. Individual | Dentist | 2500 N STATE ST JACKSON, MS 39216 (601) 984-6030 |
| 1689641649 | IRINA V BORISSOVA MD, PHD Individual | Anesthesiology (Pediatric Anesthesiology) | 2500 N STATE ST DEPT. OF ANESTHESIOLOGY JACKSON, MS 39216 (601) 984-5900 |
| 1215906573 | DR. TRACY MICHELLE DELLINGER D.D.S. Individual | Dentist | 2500 N STATE ST UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY JACKSON, MS 39216 (601) 984-6028 |
| 1003862707 | RAPHAEL CORCORAN SNEED M.D. Individual | Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-2940 |
| 1043267990 | DR. KEVIN DEL BEN PHD Individual | Psychologist (Clinical) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1346297090 | MS. VICKY DIANNE MINNINGER CFNP Individual | Nurse Practitioner | 2500 N STATE ST JACKSON, MS 39216 (601) 984-6525 |
| 1578510962 | DOMENIC P ESPOSITO M.D. Individual | Neurological Surgery | 2500 N STATE ST N703 NEUROSURGERY DEPARTMENT JACKSON, MS 39216 (601) 984-5706 |
| 1386681633 | DR. GRAYSON S NORQUIST M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1770521718 | MS. JUDITH ROSEMARY O'JILE PHD Individual | Clinical Neuropsychologist | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1790723294 | MRS. JULIE A SCHUMACHER-COFFEY PHD Individual | Psychologist (Clinical) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1073551586 | DR. HANS-GEORG OTTO BOCK M.D. Individual | Medical Genetics (Clinical Genetics (M.D.)) | 2500 N STATE ST DEPARTMENT OF PREVENTIVE MEDICINE JACKSON, MS 39216 (601) 984-1900 |
| 1518905124 | UNIVERSITY PATHOLOGY ASSOCIATES, PLLC Organization | Clinical Medical Laboratory | 2500 N STATE ST JACKSON, MS 39216 (601) 984-1530 |
| 1811938699 | DR. ELIZABETH ANNE CHRIST M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 2500 N STATE ST JACKSON, MS 39216 (601) 815-8173 |
| 1285676908 | DR. WILLIAM RICHARD BOYTE M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 2500 N STATE ST JACKSON, MS 39216 (601) 815-8173 |
| 1164464681 | HANNAH BERRY GAY M.D. Individual | Pediatrics (Pediatric Infectious Diseases) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5206 |
| 1922040310 | DR. JOHN JOEL DONALDSON M.D. FAAP Individual | Pediatrics | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871235994, enumerated in the NPI registry as an "individual" on April 09, 2022
The provider is located at 2500 N State St Jackson, Ms 39216 and the phone number is (601) 984-1000
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 09, 2022. 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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