MISS MARCIA ANTONIA DAVIS REGISTERED NURSE
NPI 1881310225
Nurse Practitioner - Gerontology in Detroit, MI

Active since October 18, 2022PECOS Enrolled
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2025, Oct 18, 2022 (2 updates tracked since 2022).

About Miss Marcia Antonia Davis Registered Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MARCIA ANTONIA DAVIS REGISTERED NURSE (NPI 1881310225) is an individual gerontology provider in Detroit, Michigan, licensed in Michigan (4704341865) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881310225
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMISS MARCIA ANTONIA DAVISCredential: REGISTERED NURSE
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 18, 2022
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1881310225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MI · 4704341865
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 4704341865 (MI)
4646 JOHN R ST, Detroit, MI 48201

Other Identifiers 1

Other4704341865MI · Registered Nurse

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Marcia Antonia Davis Registered Nurse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628549896
PECOS Enrollment IDI20260609000690
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201

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 Marcia Davis's NPI number?

The NPI number for Marcia Davis is 1881310225. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Marcia Davis located?

Marcia Davis practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Marcia Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Marcia Davis enrolled in Medicare?

Yes. Marcia Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marcia Davis was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.