Individual provider Active NPI

Marcus Lonnell Davis, MD

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1962813840
Registry record updated Nov 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD047474 Issued in DC
Practice address
1101 15TH St NW
Washington, DC 20005-5002
Phone
(202) 798-0100
Fax
(202) 379-3570
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2019

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 MD047474 DC
Emergency Medicine Physician 207P00000X MD047474 DC Primary

Addresses

Primary practice location

1101 15TH St NW
Washington, DC 20005-5002

Mailing address

2120 L St NW Ste 450
Washington, DC 20037-1541
Phone (202) 215-3060

Other practice location 1

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-6000

Other practice location 2

2120 L St NW Ste 450
Washington, DC 20037-1541
Phone (202) 741-2904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20190919001512 DC Practitioner - Emergency MedicinePractitioner - Family Practice 0547489908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Columbia University College of Physicians and Surgeons, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Medicine LLCGroup PAC ID 6204202864, 14 clinicians
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

2228 Martin Luther King Jr Ave SE
Washington, DC 20020-5700
Phone (202) 715-4470

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

Hospital & facility affiliations

  • Cedar Hill Regional Medical Center Hospital, Washington, DC, CCN 090012
  • George Washington Univ Hospital Hospital, Washington, DC, CCN 090001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foggy Bottom Physician Group Inc. CurrentSince Dec 1, 2025 Accepting new patients
Mid Atlantic Medicine LLC CurrentSince Oct 10, 2022 Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince Jul 31, 2019 Accepting new patients

Locations

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2902 Porter St NW
Washington, DC 20008
Phone (202) 525-5287

1101 15th St NW
Washington, DC 20005
Phone (202) 798-0100

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422

2120 L St NW
Ste 450
Washington, DC 20037
Phone (202) 741-2904

Interoperability endpoints

  • Direct secure messaging: mdavis25986@gwmfa.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574899200000",
    "number": "1962813840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 L ST NW STE 450",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371541",
            "telephone_number": "202-215-3060",
            "fax_number": "202-741-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 15TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055002",
            "telephone_number": "202-798-0100",
            "fax_number": "202-379-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Southern Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200324623",
            "country_code": "US",
            "telephone_number": "202-574-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 L St NW Ste 450",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371541",
            "country_code": "US",
            "telephone_number": "202-741-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARCUS",
        "middle_name": "LONNELL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2019-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD047474",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD047474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.