Individual provider Active NPI

Marla Davy, FNP-C

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1053784587
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128318 Issued in TX
Practice address
2600 N Sam Rayburn Fwy
Sherman, TX 75090-0500
Phone
(903) 416-3650
Fax
(903) 416-3651
NPI assigned
Nov 5, 2015
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128318 TX Primary

Addresses

Primary practice location

2600 N Sam Rayburn Fwy
Sherman, TX 75090-0500

Mailing address

5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6018
Phone (904) 446-3781

Other practice location 1

101 S US Highway 75
Denison, TX 75020-1553
Phone (903) 463-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001102 TX Practitioner - Nurse Practitioner 7416240635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Texas PLLCGroup PAC ID 6709002777, 33 clinicians

Practice addresses (Care Compare)

2600 N Sam Rayburn Fwy
Sherman, TX 75090-0500
Phone (903) 416-3650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Texas, PLLC CurrentSince Sep 1, 2018 Accepting new patients
Texoma Pulmonary & Sleep Specialist PA CurrentSince Apr 12, 2016 Accepting new patients
Essent PRMC LP Past Accepting new patients
Advanced Kidney Care PLLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

101 US Highway 75
Denison, TX 75020
Phone (903) 463-0003

1128 Clarksville St
Ste 50
Paris, TX 75460
Phone (903) 739-7620

2600 N US Highway 75
Sherman, TX 75090
Phone (903) 416-3650

Organizations & group practices 4

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 3

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1053784587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566018",
            "telephone_number": "904-446-3781",
            "fax_number": "903-463-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N SAM RAYBURN FWY",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900500",
            "telephone_number": "903-416-3650",
            "fax_number": "903-416-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S US Highway 75",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750201553",
            "country_code": "US",
            "telephone_number": "903-463-0003",
            "fax_number": "903-463-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVY",
        "first_name": "MARLA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.