MRS. MYRTLE HOWARD DAVENPORT NP-C, PMHNP-BC
NPI 1710402979
Nurse Practitioner - Psychiatric/Mental Health in Stockbridge, GA
About Mrs. Myrtle Howard Davenport Np-c, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MYRTLE HOWARD DAVENPORT NP-C, PMHNP-BC (NPI 1710402979) is an individual psychiatric/mental health provider in Stockbridge, Georgia, licensed in Georgia (RN219619) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Myrtle Howard Davenport Np-c, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Myrtle Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32207
- Reassigned Medicare billing, Georgia enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Myrtle Davenport's NPI number?
The NPI number for Myrtle Davenport is 1710402979. It was assigned to this individual provider in the NPPES registry on August 9, 2017.
Where is Myrtle Davenport located?
Myrtle Davenport practices at 831 Fairways Ct Ste #1, Stockbridge, GA 30281. The listed phone number is (404) 861-0827.
What is Myrtle Davenport's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Myrtle Davenport enrolled in Medicare?
Yes. Myrtle Davenport is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Myrtle Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Myrtle Davenport reassigns Medicare benefits to Mccd Fl Psychiatry Services PA (Jacksonville, FL). The 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 Myrtle Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Myrtle Davenport accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 9 other insurers list Myrtle Davenport 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 Myrtle Davenport was last updated on October 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Myrtle Howard Davenport, NP-C, PMHNP-BC · NPI 1710402979
Psychiatric/Mental Health physician in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since August 9, 2017.
## Identity
- **NPI:** 1710402979 (Entity type: Individual)
- **Enumerated:** August 9, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN219619 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 831 FAIRWAYS CT, STE #1, Stockbridge, GA 30281
- **Phone:** (404) 861-0827
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710402979) · Data from the CMS NPPES public registry.