TYRONE DONNELL CARROLL-DAVIS JR. CAA
NPI 1902612674
Anesthesiologist Assistant in Houston, TX

Q: What is Tyrone Carroll-davis's NPI number?

The NPI number for Tyrone Carroll-davis is 1902612674. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Q: What is Tyrone Carroll-davis's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since December 09, 2024Accepts Medicare Assignment

6411 FANNIN ST, HOUSTON, TX 77030(713) 500-6201 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Dec 16, 2024, Dec 9, 2024 (3 updates tracked since 2024).

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About Tyrone Donnell Carroll-davis Jr. Caa NPPES

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

TYRONE DONNELL CARROLL-DAVIS JR. CAA (NPI 1902612674) is an individual anesthesiologist assistant in Houston, Texas, licensed in Texas (789790423) and active in the NPI registry since December 2024. He is affiliated with Memorial Hermann - Texas Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902612674

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameTYRONE DONNELL CARROLL-DAVIS JR.Credential: CAA

Location Address6411 FANNIN STHouston, TX 77030-1501

Mailing Address6431 Fannin St Ste 5.020Houston, TX 77030-1501

Phone(713) 500-6201

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 9, 2024

Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1902612674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in TX · 789790423

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

6411 FANNIN ST, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyrone Donnell Carroll-davis Jr. Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799215380

PECOS Enrollment IDI20250212001035

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

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.

HASHIM ZAIDI M.D.

Emergency Medicine