MARY DAVIS NNP-BC
NPI 1790320729
Nurse Practitioner - Neonatal, Critical Care in Jackson, MS
About Mary Davis Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY DAVIS NNP-BC (NPI 1790320729) is an individual neonatal, critical care provider in Jackson, Mississippi, licensed in Mississippi (903605) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Mary Davis Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 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 39216 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 Mary Davis's NPI number?
The NPI number for Mary Davis is 1790320729. It was assigned to this individual provider in the NPPES registry on November 13, 2019.
Where is Mary Davis located?
Mary Davis practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.
What is Mary Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Mary Davis enrolled in Medicare?
Yes. Mary Davis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Davis reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). 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 Mary Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Davis accept?
Health plans from Molina Healthcare list Mary Davis 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 Mary Davis was last updated on November 13, 2019. 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.
# Mary Davis, NNP-BC · NPI 1790320729
Neonatal, Critical Care physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since November 13, 2019.
## Identity
- **NPI:** 1790320729 (Entity type: Individual)
- **Enumerated:** November 13, 2019
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 903605 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-1000
## 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:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1790320729) · Data from the CMS NPPES public registry.