ABIGAIL U DAVIS
NPI 1700417821
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since January 28, 2020PECOS Enrolled
5113 GLEN CANYON RD, FORT WORTH, TX 76137(817) 879-9714 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About ABIGAIL DAVIS

This page provides the complete NPI Profile along with additional information for Abigail Davis, a primary care provider established in Fort Worth, Texas with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1700417821 assigned on January 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1700417821 Verify this NPI
Provider Name
ABIGAIL U DAVIS
Gender
Female
Entity Type
Individual
Location Address
5113 GLEN CANYON RD FORT WORTH, TX 76137
Location Phone
(817) 879-9714
Mailing Address
5113 GLEN CANYON RD FORT WORTH, TX 76137
Mailing Phone
(817) 879-9714
Is Sole Proprietor?
Yes
Enumeration Date
01-28-2020
Last Update Date
01-28-2020
Code Navigator

A primary care provider (PCP) like Abigail Davis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Abigail Davis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700417821, enumerated as an "individual" on January 28, 2020.

The provider is located at 5113 GLEN CANYON RD FORT WORTH, TX 76137 and the phone number is (817) 879-9714.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.