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JIMMIE DAVIS JR.
NPI 1225563018
Specialist/Technologist, Other - Surgical Assistant in Arlington, TX

Active since April 28, 2017PECOS Enrolled
1109 BELL ST, ARLINGTON, TX 76001(817) 899-5682 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jimmie Davis Jr. NPPES

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

JIMMIE DAVIS JR. (NPI 1225563018) is an individual surgical assistant in Arlington, Texas, licensed in Texas (3623) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225563018
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameJIMMIE DAVIS JR.
Location Address1109 BELL STArlington, TX 76001-7116
Mailing Address1109 Bell StArlington, TX 76001-7116 · (817) 899-5682
Phone(817) 899-5682
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 28, 2017
✔ NPI 1225563018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in TX · 3623
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
1109 BELL ST, Arlington, TX 76001
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4880192533
PECOS Enrollment IDI20250812001407
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.

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 Jimmie Davis's NPI number?

The NPI number for Jimmie Davis is 1225563018. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Jimmie Davis located?

Jimmie Davis practices at 1109 Bell St, Arlington, TX 76001. The listed phone number is (817) 899-5682.

What is Jimmie Davis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Is Jimmie Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jimmie Davis was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.