JUSTIN DAVIS
NPI 1437714375
Surgery - Plastic and Reconstructive Surgery in Springfield, IL
About Justin Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN DAVIS (NPI 1437714375) is an individual plastic and reconstructive surgery provider in Springfield, Illinois, licensed in Illinois (125.077838) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
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 Justin Davis's NPI number?
The NPI number for Justin Davis is 1437714375. It was assigned to this individual provider in the NPPES registry on May 6, 2019.
Where is Justin Davis located?
Justin Davis practices at 747 N Rutledge St, Springfield, IL 62702. The listed phone number is (217) 545-6112.
What is Justin Davis's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Justin Davis enrolled in Medicare?
Yes. Justin Davis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Justin Davis was last updated on June 27, 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.
# Justin Davis · NPI 1437714375
Plastic and Reconstructive Surgery physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since May 6, 2019.
## Identity
- **NPI:** 1437714375 (Entity type: Individual)
- **Enumerated:** May 6, 2019
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 125.077838 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 747 N RUTLEDGE ST, Springfield, IL 62702-6700
- **Phone:** (217) 545-6112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1437714375) · Data from the CMS NPPES public registry.