NPIMap

Individual provider Active NPI

Ashley Elizabeth Davis

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1790128429
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1470 Issued in AL
Practice address
9971 Airport Blvd
Mobile, AL 36608-9525
Phone
(251) 660-3500
Fax
(251) 660-3501
NPI assigned
Apr 11, 2013
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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 DO1470 AL Primary

Addresses

Primary practice location

9971 Airport Blvd
Mobile, AL 36608-9525

Mailing address

9971 Airport Blvd
Mobile, AL 36608-9525
Phone (251) 660-3500

Other practice location 1

6701 Airport Blvd Ste A206
Mobile, AL 36608-3763
Phone (251) 675-7433

Other names 1

  • Ashley Elizabeth Burgess Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330002245 AL Practitioner - Family Practice 5698072015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

5100 Rangeline Service Rd N
Mobile, AL 36619-9504
Phone (251) 661-4454

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1470ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services Family Medicine CurrentSince Jan 16, 2019 Accepting new patients
Providence Healthcare Services Family Medicine Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jan 16, 2019 Accepting new patients
USA Health Community Providers LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients

Locations

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
Ste A206
Mobile, AL 36608
Phone (251) 675-7433

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

9971 Airport Blvd
Mobile, AL 36608
Phone (251) 660-3500

Interoperability endpoints

  • Direct secure messaging: ashley.davis.1@16253.direct.athenahealth.com

Organizations & group practices 5

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1790128429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9971 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089525",
            "telephone_number": "251-660-3500",
            "fax_number": "251-660-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9971 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089525",
            "telephone_number": "251-660-3500",
            "fax_number": "251-660-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Airport Blvd Ste A206",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083763",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO1470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BURGESS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.