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

Richard Davis, PA

Individual provider Surgical Physician Assistant · NPI 1720536618

Richard Davis, PA is a Physician Assistant in Lafayette, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2016, 10 years ago. Practices with Lourdes Physician Group LLC, a 156-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
10
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2016
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

4630 Ambassador Caffery Pkwy Ste 302
Lafayette, LA 70508-6950
Phone: (337) 470-3580
Fax: (337) 470-3586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 303582 (LA)

Record details

NPI number1720536618
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2016 (10 years in practice)
Group practice Lourdes Physician Group Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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