Dereck Davis
Pediatrics Physician · Jackson, MS
Dereck Davis is a pediatrics physician with a practice address in Jackson, Mississippi, and NPI 1174567580, issued on Jun 15, 2006. Check the license (Mississippi 18418, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Dereck Davis
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- 18418 MS
2007-00180 NC
Self-reported in NPPES; status is on the state search - Practice location
- 2600 N State St, Jackson, MS 39216
- Phone
- (601) 984-5220
- Enumerated
- Jun 15, 2006
- Record last updated
- Aug 11, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (601) 984-5279
- Medicaid ID
- 02170804 MS
- Medicare enrollment
- Enrolled (PECOS I20040923000734); accepts Medicare assignment
- Medical or professional school
- University Of South Alabama College Of Medicine, 2001
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 417 in Mississippi → Look up another NPI →
Verify Dereck Davis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 18418Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 69.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,056.50
23 payments; by number, the most common kind was food and beverage; the largest payer was National Marrow Donor Program. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- State OF Mississippi-University OF Mississippi Medical CenterJackson, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dereck Davis among 417 pediatrics physician records in Mississippi
Dereck Davis is one of 417 pediatrics physician records with a practice address in Mississippi. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 55% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated2001 · median 2013 among the 45 with a school on file
- Record last updated2014 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
130 pediatrics physician records list a practice address in Jackson
They are 130 of the 6,997 NPPES records with a practice address in Jackson, and 417 pediatrics physician records in Mississippi.
All 417 in Mississippi → Every provider in Jackson → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Tami Brooks, M.D.Jackson, MS 392161477589356
- Geraldine Chaney, MDJackson, MS 392161699716241
- Jeffrey Crout, M.D.Jackson, MS 392161912007949
- John Donaldson, M.D. FAAPJackson, MS 392161922040310
- Erwyn Freeman, M.D.Jackson, MS 392161356452791
- Samuel Hopper, M.D.Jackson, MS 392161265543623
- Ruth Patterson, M.D.Jackson, MS 392161336185610
- Amanda Penny, M.DJackson, MS 392161942318589
Common questions
What is Dereck Davis's NPI number?
Dereck Davis's National Provider Identifier (NPI) is 1174567580, issued on Jun 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Dereck Davis located?
The NPPES record lists a practice address at 2600 N State St, Jackson, MS, 39216. Phone: (601) 984-5220. Providers update this record themselves, so call before visiting.
How can I verify Dereck Davis's license?
NPPES lists Mississippi license number 18418, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Dereck Davis's MIPS final score?
The 2023 MIPS final score is 69.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.