Individual provider Active NPI

Davida Yarbrough Wilson, M.D.

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1487073565
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME150983 Issued in FL
Practice address
4313 Spanish TRL
Pensacola, FL 32504-4942
Phone
(850) 432-3225
Fax
(850) 438-0661
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME150983 FL Primary

Addresses

Primary practice location

4313 Spanish TRL
Pensacola, FL 32504-4942

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other names 1

  • Davida Elizabeth Yarbrough Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davida.e.wilson.mil@mail.mil Direct US Navy Hospital Pensacola

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170426000595 AL Practitioner - Family Practice 2365753720 Reassigns benefits to 1 organization
I20210917000851 FL Practitioner - Family Practice 2365753720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

4313 Old Spanish Trail Rd
Pensacola, FL 32504-4942
Phone (850) 432-3225

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pensacola, FL, CCN 107792
  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • Mission Home Health LLC Home health agency, Pensacola, FL, CCN 687091
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Sacred Heart Health System Inc CurrentSince Sep 1, 2021 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince Mar 5, 2017 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Mar 5, 2017 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

5235 Rangeline Service Rd S
#101
Mobile, AL 36619
Phone (251) 544-6449

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4313 Spanish Trl
Pensacola, FL 32504
Phone (850) 432-3225

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

1549 Airport Blvd
Ste 310
Pensacola, FL 32504
Phone (850) 416-7008

Interoperability endpoints

  • Direct secure messaging: davida.wilson.1@9582.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1487073565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044942",
            "telephone_number": "850-432-3225",
            "fax_number": "850-438-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH WILSON",
        "first_name": "DAVIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME150983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davida.e.wilson.mil@mail.mil",
            "affiliation": "Y",
            "affiliationName": "US Navy Hospital Pensacola",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6000 W Highway 98",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325121414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAVIDA",
            "last_name": "YARBROUGH",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.