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

Dr. Tyler Randall Davis, MD

Individual provider Emergency Medicine Physician · NPI 1972064160

Dr. Tyler Randall Davis, MD is an Emergency Medicine in Monroe, Louisiana. Qualified in 2019, 7 years ago. Practices with Cross Lake Emergency Group, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2019
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

4864 Jackson St
Monroe, LA 71202-6400
Phone: (318) 330-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 329162 (LA)

Record details

NPI number1972064160
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2019
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address1512 W Kirby Pl, Shreveport, LA 71103-3822

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cross Lake Emergency Group, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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