Active NPI
Amy Karen Davis, FNP
- Family Nurse Practitioner
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 630586
- Practice address
- 2014 Galleria Oaks Dr
Texarkana, TX 75503-4620 - Phone
- (903) 792-2991
- Fax
- (903) 792-2996
- NPI assigned
- Jan 16, 2008
- Sex
- Female
- 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 | 630586 | TX | Primary |
Addresses
Primary practice location
2014 Galleria Oaks Dr
Texarkana, TX 75503-4620
Mailing address
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100105000072 | TX | Practitioner - Nurse Practitioner | 1355482944 | Reassigns benefits to 1 organization |
| I20260122000702 | AR | Practitioner - Nurse Practitioner | 1355482944 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Arkansas College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Howard Memorial HospitalCollom and Carney Clinic Association
Practice addresses (Care Compare)
132 Medical Cir
Nashville, AR 71852-8606
Phone (870) 845-8914
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3282
Hospital & facility affiliations
- Encompass Health Home Health
- Christus St Michael Health System
- Howard Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630586 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Howard Memorial Hospital | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Howard Memorial Hospital | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom and Carney Clinic Association | Past | Accepting new patients | |
| Encompass Health Rehabilitation Hospital of Texarkana, Inc. | Past | Accepting new patients | |
| Collom and Carney Clinic Association | Past | Accepting new patients |
Locations
130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700
110 Medical Cir
Nashville, AR 71852
Phone (870) 845-6051
132 Medical Cir
Nashville, AR 71852
Phone (870) 845-4400
2931 Richmond Rd
Texarkana, TX 75503
Phone (903) 614-3200
2014 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 792-2990
515 W 12th St
Texarkana, TX 75501
Phone (903) 735-5000
5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008
Interoperability endpoints
- amy.davis.p1@direct.collom-carney.nextgenshare.com
- https://fhir-usa.unify.chbase.com/org/howard-9d20da0d
Organizations & group practices 18
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.
-
- Clinical Medical Laboratory
- Texarkana, TX
- NPI 1164405296
-
- Nephrology Physician
- Texarkana, TX
- NPI 1265414635
-
- Pain Medicine (Anesthesiology) Physician
- Texarkana, TX
- NPI 1962829747
-
- Clinical Neuropsychologist
- Nashville, AR
- NPI 1104282664
-
- Durable Medical Equipment & Medical Supplies
- Texarkana, TX
- NPI 1295929743
-
- Durable Medical Equipment & Medical Supplies
- Texarkana, TX
- NPI 1750364899
-
- Family Medicine Physician
- Prescott, AR
- NPI 1740262732
-
- Surgery Physician
- Nashville, AR
- NPI 1215102702
-
- Medicare Defined Swing Bed Hospital Unit
- Nashville, AR
- NPI 1578617791
-
- Certified Registered Nurse Anesthetist
- Nashville, AR
- NPI 1609920370
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Texarkana, AR
- NPI 1780076208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1386820744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 COWHORN CREEK RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755039766",
"telephone_number": "903-614-3000",
"fax_number": "903-614-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 GALLERIA OAKS DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034620",
"telephone_number": "903-792-2991",
"fax_number": "903-792-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMY",
"middle_name": "KAREN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "630586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.