MARLY JILL DAVIS (NP) – Nurse Practitioner, NPI 1801568639

MARLY JILL DAVIS (NP) is a healthcare provider. based in Gulfport, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 904775 (MS). The NPI Number for MARLY JILL DAVIS (NP) is 1801568639

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARLY JILL DAVIS (NP)
NPI
1801568639
Phone
(228) 575-1194
Address
PO BOX 1810
Enumeration Date
30 September 2021
Last Update Date
30 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6014080719
Graduation Year
2020 (6 years ago)
PAC ID
8820486079
Group Practice PAC ID
1951777572
Professional Enrollment ID
I20211021000675
Address ID
MS394769113RI4XXXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for MARLY JILL DAVIS (NP)

  • PO BOX 1810

    GULFPORT, MS 395021810

    Phone: (228) 575-1194

    Fax: (228) 575-2917

    Type: Mailing

  • 1440 CENTRAL AVE E

    WIGGINS, MS 395779602

    Phone: (601) 928-6700

    Fax: (601) 928-6731

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($46).

Total Amount

$95

General + Research + Ownership

Payments

5

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211021000675INurse PractitionerMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes229135$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11565$0
View full utilization report →

Insurance plans in this area (ZIP 39502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951777572View full group profile
NameSpecialtyState
Clinical Social WorkerLA
Nurse PractitionerMD
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

Does MARLY JILL DAVIS (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARLY JILL DAVIS (NP) uses 1801568639.
Is MARLY JILL DAVIS (NP) listed as active for patients and plans?
The listing shows MARLY JILL DAVIS (NP) as active in the NPI system.
What is MARLY JILL DAVIS (NP)'s specialty?
The listing groups MARLY JILL DAVIS (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MARLY JILL DAVIS (NP) based?
MARLY JILL DAVIS (NP) is tied to Gulfport, Mississippi in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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