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BRAD DAVIS
NPI 1164227369
Counselor - Mental Health in Jackson, MS

Active since February 13, 2025
341 EDGEWOOD TERRACE DR, JACKSON, MS 39206(601) 738-5820 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brad Davis NPPES

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

BRAD DAVIS (NPI 1164227369) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1164227369
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRAD DAVIS
Location Address341 EDGEWOOD TERRACE DRJackson, MS 39206-6217
Mailing Address1905 Mission 66Vicksburg, MS 39180-3711 · (601) 738-5820
Phone(601) 738-5820
Sole ProprietorNo
Enumeration DateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1164227369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
341 EDGEWOOD TERRACE DR, Jackson, MS 39206
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Other Providers at the Same Location NPPES 20

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

CHERYL MARIE BROWN
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
MICHELLE ELNORA LATRICE KINZEY
Case Manager/Care Coordinator
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
ANDREW HENDON
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
MALON MCGEE
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
SHEILA DAWN RUNNELS M.S., LPC, NCC
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
INDIA MARQUITA WHITE MHT
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
IVORY SIMMONS
Case Manager/Care Coordinator
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
ARTHUR L RICKS
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 398-0289

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 Brad Davis's NPI number?

The NPI number for Brad Davis is 1164227369. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Brad Davis located?

Brad Davis practices at 341 Edgewood Terrace Dr, Jackson, MS 39206. The listed phone number is (601) 738-5820.

What is Brad Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brad Davis was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.