Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Dereck Davis

Individual provider Pediatrics Physician · NPI 1174567580

Dr. Dereck Davis practises Pediatric Medicine in Jackson, Mississippi. Graduated from University of South Alabama College of Medicine in 2001, 25 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi and North Carolina.

Years since qualifying
25
Trained at
University of South Alabama College of Medicine
Licensed in
MS, NC
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2600 N State St
Jackson, MS 39216-4301 Not confirmed with CMS for 12 years — call before visiting
Phone: (601) 984-5220
Fax: (601) 984-5279
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 18418 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence 2007-00180 (NC)

Record details

NPI number1174567580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESAugust 11, 2014

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $459 18 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at State of Mississippi - University of Mississippi Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 952 clinicians in the practice; 12 are shown here.

Other providers in Jackson