Active NPI
Austin B Davidson, APN
- Family Nurse Practitioner
- Marshall, TX
National Provider Identifier
1235503103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP129630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP129630 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B&D Healthcare Solutions, PLLC | Current | Accepting new patients | |
| Pallicare, Inc | Current | Accepting new patients |
Locations
310 N Alamo Blvd
Marshall, TX 75670
Phone (903) 238-1852
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Marshall, TX
- NPI 1528775418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.