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Mary Payton Noah Davis

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

619 19th St S, Birmingham, AL 35249-1323

PECOS Enrollment

This provider is enrolled in PECOS as MARY DAVIS.

Based on the most recent information from CMS, provider Mary Payton Noah Davis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1811415250
Provider Type
Individual
Full Name
Davis, Mary Payton Noah
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
9/6/2017
Last Updated
4/2/2019

Contact Information

Practice Location

619 19th St S, Birmingham, AL 35249-1323

(205) 934-4011

(205) 297-9411

Mailing Location

PO Box 55310, Birmingham, AL 35255-5310

(205) 731-9701

(205) 297-9411

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA.1855 Alabama

Mary Payton Noah Davis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Harper, Maya

Van Kampen, Nahomy J

Mcbrayer, Alyse

Walters, Jessica K

Hudson, Antonia

Ambrosetti, Katharine

Hummel, Natalie

Moore, Caitlin

Chasteen, Mason

Donze, Abbey Layne