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Carisa Davis

Specialist/Technologist, Other β€’ Lindale, TX

Active NPI 1215500962 Individual Practitioner Female Practitioner
Practice location in NPPES

14983 Boaz Ln
Lindale, TX 757714801

Call 9728961843 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

14983 Boaz Ln

Lindale, TX 757714801

Telephone 9728961843
Organization at the Same NPPES Address or Phone
Head And Spine Institute Llc Facility NPI 1407525538

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, CMS release of October 2, 2026; Medicare.gov, β€œDoes 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lindale and Texas

1 active clinicians are listed under Specialist/Technologist, Other with a practice address in Lindale, TX (191 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-25
Specialist/Technologist, Other Primary Specialty

NUCC Taxonomy Code: 246Z00000X

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Specialist/Technologist, Other - Electroneurodiagnostic

NUCC Taxonomy Code: 246ZE0600X

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: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 25, 2023

Registered at 14983 BOAZ LN, LINDALE, TX 757714801 (Tel: 9728961843)

πŸ“
Updated Business Mailing Address September 25, 2023

Registered at 14983 BOAZ LN, LINDALE, TX 757714801 (Tel: 9728961843)

βœ…
NPI Profile Active July 21, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 21, 2021

Registered at 3 MARYLAND FARMS STE 200, BRENTWOOD, TN 370275780 (Tel: 8003484565)

πŸ“
Business Mailing Address (Initial Record) July 21, 2021

Registered at 3 MARYLAND FARMS STE 200, BRENTWOOD, TN 370275780 (Tel: 8003484565)

πŸ‘€
Provider Name / Credentials (Initial Record) July 21, 2021

Recorded as CARISA DAVIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2021

Specialist/Technologist, Other

🟒
Initial NPI Registration & Enumeration July 21, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215500962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2021
Last Update: September 25, 2023
Sole Proprietor: No

Mailing Address

14983 Boaz Ln

Lindale, TX 757714801

Phone: 9728961843

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.