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DE' ANDRA DESTHEENIA DAVIS M.D.
NPI 1225307184
Pediatrics in Greenville, KY

Active since December 22, 2011
504 HOPKINSVILLE ST, GREENVILLE, KY 42345(270) 338-6488(270) 338-7868 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2019, Sep 10, 2019 (2 updates tracked since 2019).

About De' Andra Destheenia Davis M.d. NPPES

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

DE' ANDRA DESTHEENIA DAVIS M.D. (NPI 1225307184) is an individual pediatrics provider in Greenville, Kentucky, licensed in Kentucky (49716) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1225307184
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDE' ANDRA DESTHEENIA DAVISCredential: M.D.
Location Address504 HOPKINSVILLE STGreenville, KY 42345-1104
Mailing Address480 Hopkinsville StGreenville, KY 42345-1124 · (270) 338-5777 · Fax (270) 338-5765
Phone(270) 338-6488
Fax(270) 338-7868
Sole ProprietorNo
Enumeration DateDecember 22, 2011
Last NPPES UpdateDecember 20, 20192 updates tracked since enumeration
✔ NPI 1225307184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KY · 49716✔ Licensed in LA · MD.205560
Definition
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.
504 HOPKINSVILLE ST, Greenville, KY 42345
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Other Identifiers 1

Medicaid7100444110KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

MRS. RANDA NELL BRUMFIELD APRN
Nurse Practitioner
504 HOPKINSVILLE ST
GREENVILLE, KY 42345
Muhlenberg County (270) 338-6488
KATHARINE S COX MD
Emergency Medicine
504 HOPKINSVILLE ST
GREENVILLE, KY 42345
Muhlenberg County (270) 338-6488
PATIENCE RANAE SPENCE APRN-CNP
Nurse Practitioner (Pediatrics)
504 HOPKINSVILLE ST
GREENVILLE, KY 42345
Muhlenberg County (270) 338-6488
SUSAN C HAWKINS M.D.
Pediatrics
504 HOPKINSVILLE ST
GREENVILLE, KY 42345
Muhlenberg County (270) 338-6488
NANCY ELAINE FLOYD LCSW
Social Worker (Clinical)
504 HOPKINSVILLE ST
GREENVILLE, KY 42345
Muhlenberg County (270) 338-6488
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
Clinic/Center (Federally Qualified Health Center (FQHC))
504 HOPKINSVILLE ST
GREENVILLE, KY 42345
Muhlenberg County (270) 338-6488
BILLIE JEAN GALYEN MD
Pediatrics
504 HOPKINSVILLE ST
GREENVILLE, KY 42345
Muhlenberg County (270) 338-6488

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 De' Andra Davis's NPI number?

The NPI number for De' Andra Davis is 1225307184. It was assigned to this individual provider in the NPPES registry on December 22, 2011.

Where is De' Andra Davis located?

De' Andra Davis practices at 504 Hopkinsville St, Greenville, KY 42345. The listed phone number is (270) 338-6488.

What is De' Andra Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does De' Andra Davis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list De' Andra 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 De' Andra Davis was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.