Individual provider Active NPI

Austin B Davidson, APN

  • Family Nurse Practitioner
  • Marshall, TX
National Provider Identifier
1235503103
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129630 Issued in TX
Practice address
300 N Alamo Blvd
Marshall, TX 75670-3451
Phone
(903) 927-2824
Fax
(903) 927-2880
NPI assigned
Nov 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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 AP129630 TX Primary

Addresses

Primary practice location

300 N Alamo Blvd
Marshall, TX 75670-3451

Mailing address

300 N Alamo Blvd
Marshall, TX 75670-3451
Phone (903) 927-2824

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
I20210325001577 TX Practitioner - Nurse Practitioner 2264849900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129630TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
B&D Healthcare Solutions, PLLC CurrentSince Nov 6, 2022 Accepting new patients
Pallicare, Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

310 N Alamo Blvd
Marshall, TX 75670
Phone (903) 238-1852

Interoperability endpoints

  • Direct secure messaging: austin.davidson.1@26850.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1235503103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N ALAMO BLVD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703451",
            "telephone_number": "903-927-2824",
            "fax_number": "903-927-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N ALAMO BLVD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703451",
            "telephone_number": "903-927-2824",
            "fax_number": "903-927-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "AUSTIN",
        "middle_name": "B",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.