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Dereck Davis

NPI 1174567580ActiveIndividual· Pediatrics· Jackson, MS

Pediatrics in Jackson, Mississippi, trained at University of South Alabama College of Medicine (class of 2001). Enrolled in Medicare as practitioner - pediatric medicine. Mesoblast, Inc. was the largest of 11 companies reporting payments in 2025, $459.32 in all, mostly food and beverage.

Overview

NPI1174567580
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 15, 2006
Last updated in NPPESAug 11, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X18418MS
Pediatrics208000000X2007-00180NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (MS)

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of South Alabama College of Medicine
Graduation year2001
Medicare specialtyPediatric Medicine

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$459.32 · 18 payments from 11 companies
  • 2024$1,057 · 23 payments from 17 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$459.32 · 18 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Jackson

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