Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De' Andra Destheenia Davis, MD

Individual provider Pediatrics Physician · NPI 1225307184

De' Andra Destheenia Davis, MD is a Pediatrics Physician in Greenville, Kentucky. Licensed in Kentucky and Louisiana. Registered with an NPI since 2011.

Licensed in
KY, LA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

504 Hopkinsville St
Greenville, KY 42345-1104
Phone: (270) 338-6488
Fax: (270) 338-7868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 49716 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence MD.205560 (LA)

Record details

NPI number1225307184
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 22, 2011
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019

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