Individual provider Active NPI

Monica Davila, ARNP

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1336599356
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9277558 Issued in FL
Practice address
2103 Jenks Ave
Panama City, FL 32405-4511
Phone
(850) 763-8000
Fax
(850) 785-1122
NPI assigned
Jun 21, 2016
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9277558 FL Primary

Addresses

Primary practice location

2103 Jenks Ave
Panama City, FL 32405-4511

Mailing address

2103 Jenks Ave
Panama City, FL 32405-4511
Phone (850) 763-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160823003101 FL Practitioner - Nurse Practitioner 7315232857 Reassigns benefits to 3 organizations

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
Gulf Coast Medical DoctorsGroup PAC ID 8921360660, 3 clinicians

Practice addresses (Care Compare)

109 W 23Rd St
Suite N5
Panama City, FL 32405-7611
Phone (850) 769-1566

2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (850) 877-8174

3334 Capital Medical Blvd
Suite 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.5 of 100Reported as group
Quality
47.27
Promoting interoperability
99
Improvement activities
40
Cost
75.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9277558FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL CurrentSince Jun 1, 2024 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Jun 1, 2024 Accepting new patients
Maciej Tumiel MD PA CurrentSince Jul 9, 2022 Accepting new patients
Gulf Coast Medical Doctors CurrentSince Apr 16, 2025 Accepting new patients

Locations

109 W 23rd St
Ste N5
Panama City, FL 32405
Phone (850) 769-1566

2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188

2101 Northside Dr
Unit 603
Panama City, FL 32405
Phone (850) 784-8007

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 219-1932

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1336599356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-763-8000",
            "fax_number": "850-785-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-763-8000",
            "fax_number": "850-785-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "MONICA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9277558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.