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MICHAEL DAVIDSON PA-C
NPI 1255480018
Physician Assistant - Medical in Fort Polk, LA

Active since January 10, 2007
1585 3RD ST, FORT POLK, LA 71459(337) 531-3517 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael Davidson Pa-c NPPES

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

MICHAEL DAVIDSON PA-C (NPI 1255480018) is an individual medical provider in Fort Polk, Louisiana, licensed in (1041591) and active in the NPI registry since January 2007. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1255480018
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL DAVIDSONCredential: PA-C
Location Address1585 3RD STFort Polk, LA 71459-5102
Mailing Address1776 Polk St Apt 1917Hollywood, FL 33020-4776 · (210) 819-9648
Phone(337) 531-3517
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 12, 2021
NPPES CertifiedApril 18, 2021
✔ NPI 1255480018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed · 1041591
1585 3RD ST, Fort Polk, LA 71459
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Secondary Practice Locations 3

Location 1Southcom Health Clinic, 9301 NW 33rd StreetDoral, FL 33171 · Phone (305) 437-1720
Location 23551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · Phone (210) 916-4141
Location 3CMR 411 BOX 2211APO, AE 09112 · Phone 011499662702050

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.

JEFFERY ALAN WHITE D.O.
Orthopaedic Surgery
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (337) 531-3896
DR. LINDSAY EDWARDS MUNCY M.D.
Internal Medicine
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (706) 787-6945
DR. ANNIKA ELAINE ZIMMERMAN AU.D.
Audiologist
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (337) 531-2629
MARCO I MIRNICS DPT
Physical Therapist
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (615) 609-1424
LILLIAN ROZANSKI KEPPINGER RD
Dietitian, Registered
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (318) 451-6947
KIARA GLORIA YEATMAN SCHIEN DO
Pediatrics
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (726) 780-2385
GERARD TIFFAULT MD
Emergency Medicine
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (240) 351-9565
MARK BRADLEY
Social Worker (Clinical)
1585 3RD ST, BJACH
FORT POLK, LA 71459
Vernon Parish (337) 531-3942

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 Michael Davidson's NPI number?

The NPI number for Michael Davidson is 1255480018. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Michael Davidson located?

Michael Davidson practices at 1585 3rd St, Fort Polk, LA 71459. The listed phone number is (337) 531-3517.

What is Michael Davidson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michael Davidson was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.