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JERRY ELDON DAVIS MD
NPI 1902898992
Emergency Medicine in Shreveport, LA

Active since August 17, 2005PECOS Enrolled
8001 YOUREE DR, SHREVEPORT, LA 71115(318) 212-3500(318) 212-3505 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry Eldon Davis Md NPPES

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

JERRY ELDON DAVIS MD (NPI 1902898992) is an individual emergency medicine provider in Shreveport, Louisiana, licensed in Louisiana (12082R) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902898992
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJERRY ELDON DAVISCredential: MD
Location Address8001 YOUREE DRShreveport, LA 71115-2302
Mailing AddressPo Box 32600Shreveport, LA 71130-2600 · (318) 212-4877 · Fax (318) 212-4192
Phone(318) 212-3500
Fax(318) 212-3505
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
✔ NPI 1902898992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 12082R
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
8001 YOUREE DR, Shreveport, LA 71115
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Other Identifiers 1

Medicaid1542334LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Eldon Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerry Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cross Lake Emergency Group, LLC
5.4 mi
Emergency Medicine
2600 GREENWOOD RD
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 104 clinicians in this Medicare group
NPI 1013497114 (318) 212-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MAURIE PATTERSON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine
8001 YOUREE DR, SUITE 400
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3456
WK CENTER FOR NEUROSURGERY AT PIERREMONT
Neurological Surgery
8001 YOUREE DR, SUITE 850
SHREVEPORT, LA 71115
Caddo Parish (318) 424-2623
SHIRLEY A KELLEY CRNA
Nurse Anesthetist, Certified Registered
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3220
SUSAN MICHELLE SELF MD
Family Medicine
8001 YOUREE DR, SUITE 540
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3810
ALLYSON DELAUNE NP
Nurse Practitioner (Acute Care)
8001 YOUREE DR, SUITE 880
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3821
MR. CALEB PHILLIPS CRNA
Nurse Anesthetist, Certified Registered
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3000
CHRISTINA GREEN PT, DPT
Physical Therapist
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3700
MARY-CLAIRE ELIZABETH MULA
Physician Assistant
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3000

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 Jerry Davis's NPI number?

The NPI number for Jerry Davis is 1902898992. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Jerry Davis located?

Jerry Davis practices at 8001 Youree Dr, Shreveport, LA 71115. The listed phone number is (318) 212-3500.

What is Jerry Davis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jerry Davis enrolled in Medicare?

Yes. Jerry Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerry Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Davis reassigns Medicare benefits to Cross Lake Emergency Group, LLC (Shreveport, LA). The 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 Jerry Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Davis accept?

Health plans from Anthem Blue Cross and Blue Shield and HMO Louisiana list Jerry Davis 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 Jerry Davis was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.