Marlon Davis

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3140 Juanipero Way Ste 101
Medford, OR 97504-8647

Phone

(541) 323-4800

NPI assigned

Jun 27, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Chronicles of Success Recovery Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medford, OR
  • NPI 1629801543
  NPD
• Chronicles of Success Recovery Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Medford, OR
  • NPI 1104765825
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1497643282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 TRAILVIEW LN",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 JUANIPERO WAY STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048647",
            "telephone_number": "541-323-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionte Davis
• John T. Davis, PA-C
• Kevin Davis
• Laurie Davis, ORT
• Mark Jeffrey Davis, QMHA
• Michael A Davis, M.D
• Rhiannon Kristine Davis
• Robert Ash Davis, RN
• Talya Davis, RN
• Patrick Erin Davol, M.D.

• Community Health Worker in Medford, OR
• Providers in Medford, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.