Jack Davis
Peer Specialist • Holland, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jack Davis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jack Davis was a registered Peer Specialist practicing in Holland, MI. Throughout an active medical career spanning 4 years, Jack Davis provided care at the practice location at 665 136TH AVE until profile deactivation on 2020-01-02.
Practice Location & Contact Primary Location
665 136th Ave
Suite 50
Holland, MI 494241897
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Holland, MI
Practicing in Holland, MI (1765 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Peer Specialist
Health & Wellness Coach
Peer Specialist
Counselor - Addiction (Substance Use Disorder)
Peer Specialist
RECOVERYCOACHCCAR
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 02, 2020
NPI status registered as active in NPPES database
Registered at 665 136TH AVE, SUITE 50, HOLLAND, MI 494241897 (Tel: 6163932188)
Registered at 665 136TH AVE, SUITE 50, HOLLAND, MI 494241897 (Tel: 6163932188)
Recorded as JACK DAVIS
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Jack Davis
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
665 136th Ave, Suite 50
Holland, MI 494241897
Phone: 6163932188
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.