R KEITH DAVIS MD PLLC PA
NPI 1659604064
Family Medicine in Smackover, AR
About R Keith Davis Md Pllc Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
R KEITH DAVIS MD PLLC PA (NPI 1659604064) is a healthcare organization registered as a family medicine in Smackover, Arkansas and active in the NPI registry since September 2009. The organization lists Richard K Davis, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
R Keith Davis Md Pllc Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to R Keith Davis MD PLLC PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 R Keith Davis MD PLLC PA's NPI number?
The NPI number for R Keith Davis MD PLLC PA is 1659604064. It was assigned to this organization in the NPPES registry on September 16, 2009.
Where is R Keith Davis MD PLLC PA located?
R Keith Davis MD PLLC PA is located at 1400 Pershing Hwy, Smackover, AR 71762. The listed phone number is (870) 725-3471.
What is R Keith Davis MD PLLC PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is R Keith Davis MD PLLC PA enrolled in Medicare?
Yes. R Keith Davis MD PLLC PA is registered in the Medicare PECOS enrollment system.
When is R Keith Davis MD PLLC PA'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 January 31, 2027. 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 R Keith Davis MD PLLC PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to R Keith Davis MD PLLC PA, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does R Keith Davis MD PLLC PA 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 R Keith Davis MD PLLC PA 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 R Keith Davis MD PLLC PA was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# R Keith Davis Md Pllc Pa · NPI 1659604064
Family Medicine organization in Smackover, Arkansas. Organization record, active in the CMS NPPES registry since September 16, 2009.
## Identity
- **NPI:** 1659604064 (Entity type: Organization)
- **Enumerated:** September 16, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Richard Davis, SOLE MEMBER
## Practice location
- **Address:** 1400 PERSHING HWY, Smackover, AR 71762-2300
- **Phone:** (870) 725-3471 · **Fax:** (870) 725-3215
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2009
- **Other identifiers:** Medicaid 145479001 (AR); Medicare PIN 5M036 (AR); Medicare UPIN H49756 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1659604064) · Data from the CMS NPPES public registry.