JUSTIN WHITFIELD DAVIDSON
NPI 1790470649
Student in an Organized Health Care Education/Training Program in Louisville, KY
About Justin Whitfield Davidson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN WHITFIELD DAVIDSON (NPI 1790470649) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Whitfield Davidson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
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 Davidson's NPI number?
The NPI number for Justin Davidson is 1790470649. It was assigned to this individual provider in the NPPES registry on April 6, 2023.
Where is Justin Davidson located?
Justin Davidson practices at 550 S Jackson St # A3k00, Louisville, KY 40202. The listed phone number is (502) 852-4277.
What is Justin Davidson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Justin Davidson enrolled in Medicare?
Yes. Justin Davidson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Justin Davidson was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Whitfield Davidson · NPI 1790470649
Student in an Organized Health Care Education/Training Program provider in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1790470649 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 550 S JACKSON ST # A3K00, Louisville, KY 40202-1622
- **Phone:** (502) 852-4277
## 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:** April 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790470649) · Data from the CMS NPPES public registry.