Individual provider Active NPI

Marcus Samuel Davis, DO

  • Gastroenterology Physician
  • Abilene, TX
National Provider Identifier
1780114504
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R8552 Issued in TX
Practice address
1210 N 18TH St
Abilene, TX 79601-2933
Phone
(325) 670-3636
Fax
(833) 464-2631
NPI assigned
Jun 14, 2017
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10061509 TX
Internal Medicine Physician 207R00000X R8552 TX
Gastroenterology Physician 207RG0100X R8552 TX Primary

Addresses

Primary practice location

1210 N 18TH St
Abilene, TX 79601-2933

Mailing address

1210 N 18TH St
Abilene, TX 79601-2933
Phone (325) 670-3636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdavis209463@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181109002699 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 6507136009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1210 N 18TH St
Abilene, TX 79601-2933
Phone (325) 670-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy115
Upper gastrointestinal (GI) endoscopy for acid reflux280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10061509TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Brownwood Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Hendrick Provider Network CurrentSince Jul 1, 2023 Accepting new patients
Hendrick Provider Network Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Hendrick Medical Center Brownwood CurrentSince Apr 1, 2025 Accepting new patients

Locations

1210 N 18th St
Abilene, TX 79601
Phone (325) 670-4020

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

2371 Crockett Dr
Ste 104
Brownwood, TX 76801
Phone (325) 430-6319

Interoperability endpoints

  • Direct secure messaging: marcus.davis.1@21794.direct.athenahealth.com
  • Direct secure messaging: marcus.davis.1@6815.direct.athenahealth.com

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 3

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1780114504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012933",
            "telephone_number": "325-670-3636",
            "fax_number": "833-464-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012933",
            "telephone_number": "325-670-3636",
            "fax_number": "833-464-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARCUS",
        "middle_name": "SAMUEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10061509",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R8552",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R8552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdavis209463@direct.sw.org",
            "affiliation": "N",
            "address_1": "1605 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.