Active NPI
Marcia Camille Davis
- Homemaker
- Jacksonville, FL
National Provider Identifier
1982126553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 239345
- Practice address
- 5136 Glen Alan CT N
Jacksonville, FL 32210-8756 - Phone
- (904) 403-8141
- Fax
- (904) 403-8141
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 239345 | FL | Primary |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
5136 Glen Alan CT N
Jacksonville, FL 32210-8756
Mailing address
5136 Glen Alan CT N
Jacksonville, FL 32210-8756
Phone (904) 403-8141
Other practice location 1
647 East 31th Street
Jacksonville, FL 32206
Phone (904) 651-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239345 | FL | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1982126553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5136 GLEN ALAN CT N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322108756",
"telephone_number": "904-403-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5136 GLEN ALAN CT N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322108756",
"telephone_number": "904-403-8141",
"fax_number": "904-403-8141"
}
],
"practiceLocations": [
{
"address_1": "647 East 31th Street",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32206",
"country_code": "US",
"telephone_number": "904-651-0022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MARCIA",
"middle_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "239345",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.