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

Melissa Davis Pettis, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1720513187

Melissa Davis Pettis, MD is an Obstetrics/Gynecology in Waco, Texas. Graduated from Louisiana State University School of Medicine in Shreveport in 2017, 9 years ago. Practices with Providence Health Alliance, a 122-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
TX
In the registry since
2017
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

601 W Hwy 6 Ste 101
Waco, TX 76710-5592
Phone: (254) 772-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence T0459 (TX)

Record details

NPI number1720513187
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2017 (9 years in practice)
Group practice Providence Health Alliance — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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