Individual provider Active NPI

Mark Jeffrey Davis, M.D.

  • Family Medicine Physician
  • North Potomac, MD
National Provider Identifier
1740598804
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D40217 Issued in MD
Practice address
10810 Darnestown Rd Ste 202
North Potomac, MD 20878-2601
Phone
(301) 424-1780
NPI assigned
Sep 22, 2010
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D40217 MD Primary
Family Medicine Physician 207Q00000X A049949 CA

Addresses

Primary practice location

10810 Darnestown Rd Ste 202
North Potomac, MD 20878-2601

Mailing address

10810 Darnestown Rd Ste 202
North Potomac, MD 20878-2601
Phone (301) 424-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20110512000645 DC Practitioner - Family Practice 3072799824 Reassigns benefits to 1 organization
I20241024003828 MD Practitioner - Family Practice 3072799824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A049949CAMDFamily Medicine Physician
D40217MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. Current Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Hyattsville Nursing and Rehabilitation Center LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adelphi Nursing and Rehabilitation Center LLC Past Accepting new patients

Locations

901 1st St NW
Washington, DC 20001
Phone (202) 282-3005

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

4669 Falls Rd
Baltimore, MD 21209
Phone (410) 662-8606

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1740598804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 202",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782601",
            "telephone_number": "301-424-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 202",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782601",
            "telephone_number": "301-424-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARK",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D40217",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A049949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

Verify at the official NPI Registry.