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BRANDY DAVIS MD P A
NPI 1205869724
Family Medicine in Forrest City, AR

Active since July 08, 2006CLIA 04D1036376 · Microscopy
904 HOLIDAY DR, SUITE 406, FORREST CITY, AR 72335(870) 494-4000(870) 494-4033 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1205869724
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRANDY DAVIS MD P A
Location Address904 HOLIDAY DR, SUITE 406Forrest City, AR 72335-9183
Mailing Address904 Holiday Dr, Suite 406Forrest City, AR 72335-9183 · (870) 494-4000 · Fax (870) 494-4033
Phone(870) 494-4000
Fax(870) 494-4033
Organization SubpartNo
Authorized OfficialBrandy Alexis DavisPresident · (870) 494-4000
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205869724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
904 HOLIDAY DR, Forrest City, AR 72335
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, AR
Active · expires Aug 5, 2027
CLIA Number04D1036376
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorBrandy A. Davis
Laboratory Phone(870) 494-4000
Laboratory LocationBrandy Davis MD PA904 Holiday Drive Suite 406, Forrest City, AR 72335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY MARIE MORGAN-DILDINE APN
Nurse Practitioner (Family)
904 HOLIDAY DR, SUITE 406
FORREST CITY, AR 72335
St. Francis County (870) 494-4000
CROWLEYS RIDGE FAMILY PRACTICE LLC
Family Medicine
904 HOLIDAY DR, SUITE 404
FORREST CITY, AR 72335
St. Francis County (870) 630-1683
NIZAR CHAFIK ISSA M.D
Internal Medicine (Pulmonary Disease)
904 HOLIDAY DR
FORREST CITY, AR 72335
St. Francis County (870) 630-9362
BRANDY ALEXIS DAVIS M.D.
Family Medicine
904 HOLIDAY DR, SUITE 406
FORREST CITY, AR 72335
St. Francis County (870) 494-4000
STEFFANY CALLOWAY BENTON DNP, APRN, FNP-BC
Nurse Practitioner (Family)
904 HOLIDAY DR, SUITE 406
FORREST CITY, AR 72335
St. Francis County (870) 494-4000
DAVID M COSS M.D.
Family Medicine
904 HOLIDAY DR, SUITE 404
FORREST CITY, AR 72335
St. Francis County (870) 630-1683

Frequently 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.

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.

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 5 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.