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

Derrick Dewayner Davis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972447621

Derrick Dewayner Davis is an Addiction (Substance Use Disorder) Counselor in Jackson, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1935 Lakeland Dr # 900
Jackson, MS 39216-5028
Phone: (601) 718-2468
Fax: (601) 718-2487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1972447621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address1935 Lakeland Dr, Jackson, MS 39216-5028

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