Derek Gavin Davis, CRNA
NPI 1952563041ActiveIndividual· Nurse Anesthetist, Certified Registered· Bogalusa, LA
Nurse Anesthetist, Certified Registered (CRNA) with Clinical Colleagues Inc and 2 other groups, practicing in Bogalusa, Louisiana. Medicare paid $5,016 for services to 46 patients in 2024. Lists Goshen Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1952563041 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jun 30, 2008 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | R873427 | MS |
| Nurse Anesthetist, Certified Registered | 367500000X | AP05507 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (AR); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (IN); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (LA); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 49 across 16 procedure codes |
| Paid by Medicare | $5,016 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Clinical Colleagues IncLoganport, IN · 164 clinicians
- Our Lady of the Angels Hospital IncBogalusa, LA · 78 clinicians
- Australia Anesthesia Management LLCGoshen, IN · 59 clinicians
Hospital affiliations
- Goshen HospitalGoshen, IN
- Our Lady of the Angels HospitalBogalusa, LA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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