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

Leslie Erin Davis, PA

Individual provider Physician Assistant · NPI 1053977249

Leslie Erin Davis, PA is a Physician Assistant in Vicksburg, Mississippi. Qualified in 2018, 8 years ago. Practices with Vicksburg Nephrology LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1202 Mission Park Dr
Vicksburg, MS 39180-3758
Phone: (601) 738-5549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00426 (MS)

Record details

NPI number1053977249
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2019
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Vicksburg Nephrology Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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