Individual provider Active NPI

Marka Morgan Davis, APRN

  • Family Nurse Practitioner
  • Blytheville, AR
National Provider Identifier
1316593122
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
121695 Issued in AR
Practice address
609 Fulton St
Blytheville, AR 72315-1922
Phone
(844) 215-0731
NPI assigned
Aug 16, 2019
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 121695 AR Primary

Addresses

Primary practice location

609 Fulton St
Blytheville, AR 72315-1922

Mailing address

4600 Gregory CV
Jonesboro, AR 72405-7948

Other names 1

  • Marka Morgan Ahrent Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210329000132 AR Practitioner - Nurse Practitioner 5890102412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sudesh Banaji MD PLLC CurrentSince Feb 17, 2021 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Sep 1, 2024 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

609 Fulton St
Blytheville, AR 72315
Phone (870) 763-0855

1605 2nd St
Earle, AR 72331
Phone (870) 559-3057

332 E Cook St
Forrest City, AR 72335
Phone (870) 630-2233

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

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 1

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1316593122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 GREGORY CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 FULTON ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151922",
            "telephone_number": "844-215-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARKA",
        "middle_name": "MORGAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "121695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARKA",
            "last_name": "AHRENT",
            "middle_name": "MORGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.