Active NPI
Molly Jo Davis, NP
- Family Nurse Practitioner
- Marietta, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.021441
- Practice address
- 401 Matthew St
Marietta, OH 45750 - Phone
- (740) 374-1400
- NPI assigned
- Sep 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Zanesville, OH
- NPI 1528177730
OH
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1578870911
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Group of Southeastern Ohio Inc
Practice addresses (Care Compare)
200 N Maysville Ave
Zanesville, OH 43701-6172
Phone (740) 455-3304
Hospital & facility affiliations
- Genesis Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171018000866 | OH | Practitioner - Nurse Practitioner | 8527334671 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.021441 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group of Southeastern Ohio Inc | Current | Accepting new patients | |
| Medical Home Primary Care Center | Current | Accepting new patients |
Locations
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
200 N Maysville Ave
Zanesville, OH 43701
Phone (740) 455-3112
3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- molly.davis.p18@direct.pgseo.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.021441 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
401 Matthew St
Marietta, OH 45750
Mailing address
481 Bricktone Dr
Blacklick, OH 43004-9224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2018.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1124547435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 BRICKTONE DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430049224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MATTHEW ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "45750",
"telephone_number": "740-374-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MOLLY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.021441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.