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Carla L. Davis

NPI 1215572409ActiveIndividual· Preferred Provider Organization· Milwaukee, WI

Preferred Provider Organization in Milwaukee, Wisconsin, with an NPI issued in November 2019.

Overview

NPI1215572409
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedNov 12, 2019
Last updated in NPPESNov 12, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Milwaukee

All Preferred Provider Organization providers in Wisconsin