BRANDY DAVIS MD P A
NPI 1205869724
Family Medicine in Forrest City, AR
About Brandy Davis Md P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDY DAVIS MD P A (NPI 1205869724) is a healthcare organization registered as a family medicine in Forrest City, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through August 5, 2027 and lists Brandy Alexis Davis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandy Davis Md P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Brandy Davis MD P A, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D1036376
Brandy Davis MD PA · Forrest City, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brandy Davis MD P A's NPI number?
The NPI number for Brandy Davis MD P A is 1205869724. It was assigned to this organization in the NPPES registry on July 8, 2006.
Where is Brandy Davis MD P A located?
Brandy Davis MD P A is located at 904 Holiday Dr Suite 406, Forrest City, AR 72335. The listed phone number is (870) 494-4000.
What is Brandy Davis MD P A's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brandy Davis MD P A enrolled in Medicare?
Yes. Brandy Davis MD P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brandy Davis MD P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Brandy Davis MD P A, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brandy Davis MD P A hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D1036376) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Brandy Davis MD P A accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Brandy Davis MD P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brandy Davis MD P A was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brandy Davis Md P A · NPI 1205869724
Family Medicine organization in Forrest City, Arkansas. Organization record, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1205869724 (Entity type: Organization)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brandy Davis, PRESIDENT
## Practice location
- **Address:** 904 HOLIDAY DR, SUITE 406, Forrest City, AR 72335-9183
- **Phone:** (870) 494-4000 · **Fax:** (870) 494-4033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205869724) · Data from the CMS NPPES public registry.