EDWARD DAVIS MS
NPI 1083340137
Counselor - Professional in Emmett, ID

Active since July 29, 2022PECOS Enrolled
119 W MAIN ST, EMMETT, ID 83617(986) 895-4507(208) 277-3133 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2026, Jan 19, 2026, Jul 29, 2022 (3 updates tracked since 2022).

About Edward Davis Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD DAVIS MS (NPI 1083340137) is an individual professional provider in Emmett, Idaho, licensed in Idaho (8331398) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083340137
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEDWARD DAVISCredential: MS
Location Address119 W MAIN STEmmett, ID 83617-2935
Mailing Address8401 W Idaho BlvdLetha, ID 83636-7706 · (986) 895-4507 · Fax (208) 277-3133
Fax(208) 277-3133
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 29, 2022
Last NPPES UpdateFebruary 10, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1083340137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in ID · 8331398 Licensed in PA · PC019860
119 W MAIN ST, Emmett, ID 83617

Other Names 1

Professional Name (2)Eddie Davis Ms

Secondary Practice Locations 2

Location 1217 W Main StYoungsville, PA 16371-1436 · Phone (986) 895-4507 · Fax (208) 277-3133
Location 28401 W Idaho BlvdLetha, ID 83636-7706 · Phone (986) 895-4507

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edward Davis Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466935861
PECOS Enrollment IDI20260313002124
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
119 W MAIN ST
EMMETT, ID 83617
Counselor (Professional)
119 W MAIN ST
EMMETT, ID 83617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Davis's NPI number?

The NPI number for Edward Davis is 1083340137. It was assigned to this individual provider in the NPPES registry on July 29, 2022. The provider is also known as Eddie Davis Ms.

Where is Edward Davis located?

Edward Davis practices at 119 W Main St, Emmett, ID 83617. The listed phone number is (986) 895-4507.

What is Edward Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Edward Davis enrolled in Medicare?

Yes. Edward Davis is registered in the Medicare PECOS enrollment system.

What insurance does Edward Davis accept?

Health plans from Select Health list Edward Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Davis was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.