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

Larry D Davis Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245887728

Larry D Davis Jr., MD is a Family Practice in Janesville, Wisconsin. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Wisconsin.

Years since qualifying
7
Licensed in
CA, WI
In the registry since
2019
Specialties on file
2
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

849 Kellogg Ave
Janesville, WI 53546-2808
Phone: (608) 755-7960
Fax: (608) 755-7873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A185596 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 8075-851 (WI)

Record details

NPI number1245887728
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address849 Kellogg Ave, Janesville, WI 53546-2808

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Janesville