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

Harley Jacob Davis, MD

Individual provider Dermatology Physician · NPI 1225697030

Harley Jacob Davis, MD is a Dermatology in Mandeville, Louisiana. Graduated from Jc Edwards School of Medicine, Marshall University in 2019, 7 years ago. Practices with Tricities Skin and Cancer, a 15-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
LA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4060 Lonesome Rd
Mandeville, LA 70448-7085
Phone: (985) 727-7701
Fax: (985) 727-7375
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 336037 (LA)

Record details

NPI number1225697030
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address4060 Lonesome Rd, Mandeville, LA 70448-7085

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Tricities Skin And Cancer. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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