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Dereck Davis

Pediatrics • Jackson, MS

Active NPI 1174567580 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2600 N State St
Jackson, MS 392164301

Call 6019845220 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2600 N State St

Jackson, MS 392164301

Telephone 6019845220
Fax 6019845279
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: State Of Mississippi-University Of Mississippi Medical Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2001

Open Payments general payments, program year 2025

All general payments: $459.32 across 18 records.

By nature of payment

  • Food and Beverage: $459.32 across 18 records.

Reporting-company totals (3 largest of 11)

  • Mesoblast, Inc.: $79.68 across 1 record.
  • Emmaus Medical, Inc.: $71.45 across 4 records.
  • Merck Sharp & Dohme LLC: $64.16 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dereck Davis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dereck Davis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Mississippi

130 active clinicians are listed under Pediatrics with a practice address in Jackson, MS (418 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 130 clinicians have the CMS telehealth indicator.

11.5% of these 130 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 18 records totaling $459.32.

Manufacturer Payment Nature Product Type Amount ($)
Mesoblast, Inc.
Food and Beverage
In-kind items and services
Ryoncil General $79.68
SOBI, INC
Food and Beverage
In-kind items and services
Gamifant General $36.72
Pfizer Inc.
Food and Beverage
In-kind items and services
XYNTHA General $33.10
Chiesi USA, Inc.
Food and Beverage
Cash or cash equivalent
FERRIPROX General $26.90
Teleflex LLC
Food and Beverage
In-kind items and services
ARROW General $25.75
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
PREVYMIS General $24.67
RARE DISEASE THERAPEUTICS, INC.
Food and Beverage
In-kind items and services
Xromi General $24.29
Emmaus Medical, Inc.
Food and Beverage
Cash or cash equivalent
Endari General $24.02
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
PREVYMIS General $24.00
Emmaus Medical, Inc.
Food and Beverage
Cash or cash equivalent
Endari General $23.81
Pfizer Inc.
Food and Beverage
In-kind items and services
HYMPAVZI General $23.20
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
BREYANZI General $21.39
Emmaus Medical, Inc.
Food and Beverage
Cash or cash equivalent
Endari General $20.59
RARE DISEASE THERAPEUTICS, INC.
Food and Beverage
In-kind items and services
Xromi General $18.72
Day One Biopharmaceuticals
Food and Beverage
In-kind items and services
OJEMDA General $17.01
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Vitrakvi General $16.95
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
PREVYMIS General $15.49
Emmaus Medical, Inc.
Food and Beverage
Cash or cash equivalent
Endari General $3.03

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MS 18418

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NC 2007-00180

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
02170804 (MS)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20040923000734

Enrollment State Jurisdiction

MS

PECOS Control ID

7810965167

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

State Of Mississippi-University Of Mississippi Medical Center

2500 N State St, Jackson, MS 392164500

Phone: 6018154775

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Tobi Breland , NP

Nurse Practitioner - Family

NPI 1629177688

Nurse Practitioner

Sarah Elkin , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1114440625

NURSEPRACTITIONER

Career & Practice History

NPI enumerated June 15, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1174567580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: August 11, 2014
Sole Proprietor: No

Other Pediatrics Specialists in Jackson

All Pediatrics Specialists in Jackson

Mailing Address

2600 N State St

Jackson, MS 392164301

Phone: 6019845220

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.