KED L DAVIS MD PLLC PA
NPI 1316101058
Family Medicine in Magnolia, AR
About Ked L Davis Md Pllc Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KED L DAVIS MD PLLC PA (NPI 1316101058) is a healthcare organization registered as a family medicine in Magnolia, Arkansas and active in the NPI registry since July 2008. The organization holds a CLIA Microscopy certificate valid through July 23, 2028 and lists Ashley Campbell, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ked L Davis Md Pllc Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ked L Davis MD PLLC PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D1087010
Ked Davis MD PLLC PA · Magnolia, ARFrequently 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 Ked Davis MD's NPI number?
The NPI number for Ked Davis MD is 1316101058. It was assigned to this organization in the NPPES registry on July 11, 2008. The provider is doing business as Ked L Davis MD PLLC PA.
Where is Ked Davis MD located?
Ked Davis MD is located at 1701 E North St, Magnolia, AR 71753. The listed phone number is (870) 234-3802.
What is Ked Davis MD's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ked Davis MD enrolled in Medicare?
Yes. Ked Davis MD is registered in the Medicare PECOS enrollment system.
When is Ked Davis MD's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ked Davis MD?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ked Davis MD. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ked Davis MD hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D1087010) is associated with this NPI, valid through July 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ked Davis MD accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Ked Davis MD 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 Ked Davis MD was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ked L Davis Md Pllc Pa · NPI 1316101058
Family Medicine organization in Magnolia, Arkansas. Organization record, active in the CMS NPPES registry since July 11, 2008.
## Identity
- **NPI:** 1316101058 (Entity type: Organization)
- **Enumerated:** July 11, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Ked Davis Md
- **Organization subpart:** No
- **Authorized official:** Ashley Campbell, OFFICE MANAGER
## Practice location
- **Address:** 1701 E NORTH ST, Magnolia, AR 71753-3204
- **Phone:** (870) 234-3802 · **Fax:** (870) 234-7386
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2024
- **Other identifiers:** Medicaid 167832001 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316101058) · Data from the CMS NPPES public registry.