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

Individual provider Nephrology Physician · NPI 1912065251

Gary M Davis, MD is a Nephrology in Jackson, Mississippi. Graduated from Meharry Medical College School of Medicine in 1982, 44 years ago. Practices with Diversified Renal Group LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
44
Trained at
Meharry Medical College School of Medicine
Licensed in
MS
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

5903 Ridgewood Rd Ste 340
Jackson, MS 39211
Phone: (601) 899-3340
Fax: (601) 899-3343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 11174 (MS)

Record details

NPI number1912065251
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 2057, Ridgeland, MS 39158

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Diversified Renal Group Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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