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MRS. MYRTLE HOWARD DAVENPORT NP-C, PMHNP-BC
NPI 1710402979
Nurse Practitioner - Psychiatric/Mental Health in Stockbridge, GA

Active since August 09, 2017
831 FAIRWAYS CT, STE #1, STOCKBRIDGE, GA 30281(404) 861-0827 Get Directions Write a Review

NPPES record last updated: October 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2023, Jul 21, 2022, Sep 24, 2021 and 3 more (6 updates tracked since 2017).

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 maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710402979
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. MYRTLE HOWARD DAVENPORTCredential: NP-C, PMHNP-BC
Location Address831 FAIRWAYS CT, STE #1Stockbridge, GA 30281
Mailing Address920 Dannon Vw Sw, Ste 3103Atlanta, GA 30331-2158 · (404) 549-9471 · Fax (404) 549-9486
Phone(404) 861-0827
Sole ProprietorNo
Enumeration DateAugust 9, 2017
Last NPPES UpdateOctober 8, 20236 updates tracked since enumeration
NPPES CertifiedOctober 8, 2023
✔ NPI 1710402979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN219619
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN219619 (GA)
831 FAIRWAYS CT, Stockbridge, GA 30281
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Secondary Practice Locations 2

Location 18058 Kylie CtRiverdale, GA 30274-3985 · Phone (404) 861-0827
Location 2200 Oxford LnFayetteville, GA 30215-5317 · Phone (404) 861-0827

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, CHRISTUS Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES

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

TAWA KALYTOU SITOU FNP
Nurse Practitioner (Family)
831 FAIRWAYS CT
STOCKBRIDGE, GA 30281
Henry County (770) 328-1925

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.

What insurance does Myrtle Davenport accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Medica and Oscar Health Maintenance Organization of Florida and 3 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 2 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.