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

Jim Glenn Davis

Individual provider Specialist · NPI 1780808196

Jim Glenn Davis is a Certified Registered Nurse Anesthetist (CRNA) in Camden, Arkansas. Qualified in 1980, 46 years ago. Practices with Nlr Gi Anesthesia, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
46
Licensed in
AR
In the registry since
2007
Specialties on file
2

Practice location Address checks out

502 Greening St Ste 3C
Camden, AR 71701-3491
Phone: (870) 837-4065
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C000332 (AR)
Specialist Taxonomy 174400000X · Licence C00332 (AR)

Record details

NPI number1780808196
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2007
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address502 Greening Street, Suite 3c, Camden, AR 71701

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Nlr Gi Anesthesia, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Camden