Maddison Davis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1029158 Issued in TX

Practice address

3900 Joe Ramsey Blvd E Ste 6
Greenville, TX 75401-7705

Phone

(903) 455-1100

Fax

(903) 455-1114

NPI assigned

Feb 3, 2021

Last updated

Apr 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maddi@drbloom.emadirect.md
• Direct secure messaging: maddison.davis.1@33771.direct.athenahealth.com

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.

• Matthew D Barrows MD PA

  dba Dermatology & Skin Cancer Surgery Center

  • Dermatology Physician
  • McKinney, TX
  • NPI 1699763490
  NPD
• Robert F. Bloom MD

  • Procedural Dermatology Physician
  • Bonham, TX
  • NPI 1013596758

  Family

  NPD

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1912598772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 COUNTY ROAD 1265",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754187431",
            "telephone_number": "903-227-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E STE 6",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017705",
            "telephone_number": "903-455-1100",
            "fax_number": "903-455-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 E 6th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Bonham",
            "state": "TX",
            "postal_code": "754184072",
            "country_code": "US",
            "telephone_number": "903-583-3376",
            "fax_number": "903-640-4524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MADDISON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE FROM TEXAS BON",
            "identifier": "1029158",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maddi@drbloom.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3900 Joe Ramsey Blvd E Ste 6",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754017705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dallas Vamc
• Ian Daniel, MD
• Jamie Daniel, LBSW
• Jason Daniel, D.M.D.
• Gladys Sue Daniels
• Tarik Davis
• Shayla Days
• DCS Medical PA
• Gabriela Dean, OTR
• Trayce B Deanda

• Family Nurse Practitioner in Greenville, TX
• Providers in Greenville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.