Individual provider Active NPI

Mollie M Davis, MD

  • Internal Medicine Physician
  • Severna Park, MD
National Provider Identifier
1033264270
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0065490 Issued in MD
Practice address
31 Robinson Rd
Severna Park, MD 21146-2841
Phone
(410) 544-5900
Fax
(410) 556-8614
NPI assigned
Jan 25, 2007
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0065490 MD Primary
Pediatrics Physician 208000000X D0065490 MD
Occupational Medicine Physician 2083X0100X D65490 MD

Addresses

Primary practice location

31 Robinson Rd
Severna Park, MD 21146-2841

Mailing address

31 Robinson Rd
Severna Park, MD 21146-2841
Phone (410) 544-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071009000669 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8123113917 Reassigns benefits to 1 organization
I20191114000275 DC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8123113917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Tulane University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 Robinson Rd
Severna Park, MD 21146-2841
Phone (410) 544-5900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0065490MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Mollie M Davis MD, LLC Internal Medicine CurrentSince Aug 31, 2023 Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Past Accepting new patients
Medlantic Healthcare Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

31 Robinson Rd
Severna Park, MD 21146
Phone (410) 544-5900

Interoperability endpoints

  • Direct secure messaging: mollie.davis@665205668380676.direct.elationemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1033264270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462841",
            "telephone_number": "410-544-5900",
            "fax_number": "410-556-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462841",
            "telephone_number": "410-544-5900",
            "fax_number": "410-556-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MOLLIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0065490",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0065490",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "D65490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.