Active NPI
Alexandria Ashley Davis, FNP-C
- Family Nurse Practitioner
- Ashdown, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005656
- Practice address
- 820 S Locust St
Ashdown, AR 71822-4347 - Phone
- (870) 898-4576
- Fax
- (870) 455-4484
- NPI assigned
- Aug 2, 2018
- Last updated
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005656 | AR | Primary |
Addresses
Primary practice location
820 S Locust St
Ashdown, AR 71822-4347
Mailing address
820 S Locust St
Ashdown, AR 71822-4347
Phone (870) 898-4576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230845758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
820 S Locust St
Ashdown, AR 71822-4347
Phone (870) 898-4576
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Grace Healthcare Inc. | Family | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
820 S Locust St
Ashdown, AR 71822
Phone (870) 898-4576
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- alexandriadavis@fmgt.allscriptsdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Southern Grace Healthcare Inc | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer Corporate Director W-2 Managing Employee |
Jun 1, 2024 Jun 1, 2024 Jun 1, 2024 Jun 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Nurse Practitioner
- Ashdown, AR
- NPI 1679243653
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Ashdown, AR
- NPI 1679243653
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Little River Memorial Hospital
- Critical Access Hospital
- Ashdown, AR
- NPI 1326040007
Home health agency
-
dba Hospital Home Health
- Home Health Agency
- Ashdown, AR
- NPI 1356322309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1962980797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S LOCUST ST",
"city": "ASHDOWN",
"state": "AR",
"postal_code": "718224347",
"telephone_number": "870-898-4576",
"fax_number": "870-455-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S LOCUST ST",
"city": "ASHDOWN",
"state": "AR",
"postal_code": "718224347",
"telephone_number": "870-898-4576",
"fax_number": "870-455-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALEXANDRIA",
"middle_name": "ASHLEY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230845758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashdown, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.