Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174567580 Individual Practitioner Male Practitioner

Dereck Davis

Pediatrics • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dereck Davis is a certified Pediatrics practicing in Jackson, MS. With approximately 25 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2001, Dereck Davis delivers high-quality medical care to the local community at 2600 N STATE ST.

Dereck Davis is affiliated with State Of Mississippi-University Of Mississippi Medical Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2600 N State St

Jackson, MS 392164301

Telephone 6019845220
Fax 6019845279

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jackson, MS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +10.4 yrs vs City Avg
City Avg: 14.6 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
134 Specialists

Practicing in Jackson, MS (436 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (25 Years) 25 Yrs
Jackson Specialty Average (14.6 Years) 14.6 Yrs

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MS 18418

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NC 2007-00180

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02170804 (MS)

Hospital & Practice Group Affiliations

State Of Mississippi-University Of Mississippi Medical Center

2500 N State St, Jackson, MS 392164500

Phone: 6018154775

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Sarah Elkin , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1114440625

NURSEPRACTITIONER

April Morris , NP

Nurse Practitioner

NPI 1154420123

Nurse Practitioner

Dr. Amanda Strobel , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1164719597

Doctor of Medicine (M.D.)

NPI 1356961437
Dr. Mary Smith , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1477597458

Doctor of Medicine (M.D.)

Dr. Melissa Mcnaull , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1558458695

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2014

Registered at 2600 N STATE ST, JACKSON, MS 392164301 (Tel: 6019845220)

📍
Updated Business Mailing Address August 11, 2014

Registered at 2600 N STATE ST, JACKSON, MS 392164301 (Tel: 6019845220)

👤
Provider Name / Credentials Updated August 11, 2014

Recorded as DERECK DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2014

Pediatrics (License #18418 in MS)

🟢
Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174567580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: August 11, 2014
Sole Proprietor: No

Mailing Address

2600 N State St

Jackson, MS 392164301

Phone: 6019845220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.