Healthcare Provider Details

I. General information

NPI: 1225484561
Provider Name (Legal Business Name): BILLY DAVIS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 SOUTHPOINT, FORREST PARK CIR NW SUITE 200
HUNTSVILLE AL
35801
US

IV. Provider business mailing address

2010 SOUTHPOINT, FORREST PARK CIR NW, SUITE 200
HUNTSVILLE AL
35801
US

V. Phone/Fax

Practice location:
  • Phone: 256-880-5818
  • Fax:
Mailing address:
  • Phone: 256-880-5818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberDO.2625
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number3905
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: