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

Individual provider Family Medicine Physician · NPI 1689788630

Dennon W Davis, MD is a Family Practice in Mount Vernon, Illinois. Graduated from Southern Illinois University School of Medicine in 1996, 30 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2006
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

4105 N Water Tower Pl
Mount Vernon, IL 62864-6296
Phone: (618) 244-9495
Fax: (618) 244-9497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036099669 (IL)

Record details

NPI number1689788630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address4105 N Water Tower Pl, Mount Vernon, IL 62864-6296

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon