Marly Jill Davis, NP - Medicare Nurse Practitioner in Wiggins, MS

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Marly Jill Davis, NP is a medicare enrolled "Nurse Practitioner" in Wiggins, Mississippi. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Systems Management, Llc, Memorial Hospital At Gulfport, Behavioral Consultant Solutions, Llc and her current practice location is 1440 Central Ave E, Wiggins, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 928-6700.

Marly Jill Davis is licensed to practice in Mississippi (license number 904775) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801568639.

Contact Information

Marly Jill Davis, NP
1440 Central Ave E,
Wiggins, MS 39577-9602
(601) 928-6700
(601) 928-6731

Map and Direction




Provider's Profile

Full NameMarly Jill Davis
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1440 Central Ave E, Wiggins, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marly Jill Davis graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1801568639
  • Provider Enumeration Date: 09/30/2021
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820486079
  • Enrollment ID: I20211021000675

Medical Identifiers

Medical identifiers for Marly Jill Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801568639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 904775 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vitalcaring GroupGulfport, MSHome health agency
Deaconess Homecare- Region ILaurel, MSHome health agency
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Systems Management, Llc509296464349
Memorial Hospital At Gulfport2466524012473
Behavioral Consultant Solutions, Llc19517775727

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marly Jill Davis allows following entities to bill medicare on her behalf.
Entity NameMemorial Hospital at Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093142598
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396
Entity NameMedical Systems Management, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740555267
PECOS PAC ID: 5092964643
Enrollment ID: O20131024001113
Entity NameBehavioral Consultant Solutions, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275282311
PECOS PAC ID: 1951777572
Enrollment ID: O20221021001154

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marly Jill Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marly Jill Davis, NP
Po Box 1810,
Gulfport, MS 39502-1810

Ph: (228) 575-1194		Marly Jill Davis, NP
1440 Central Ave E,
Wiggins, MS 39577-9602

Ph: (601) 928-6700

Reviews and Comments


Nurse Practitioner Nurses in Wiggins, MS

James Jason Rogers, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1434 Central Ave E, Wiggins, MS 39577
Phone: 601-928-6600    
Hannah Leigh Fore, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1434 Central Ave E, Wiggins, MS 39577
Phone: 601-928-6600    Fax: 601-928-6653
Charles Ray Strange Iii,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1130 Frontage Dr W, Wiggins, MS 39577
Phone: 601-716-8012    Fax: 601-716-8013
Corban Smith, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 213 First St S, Wiggins, MS 39577
Phone: 601-385-0928    Fax: 601-385-0929
Dr. William Bryan Gibboney, DNP, FNP-C, ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1434 Central Ave E, Wiggins, MS 39577
Phone: 228-436-1191    
Ms. Rebecca Harris, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1440 Central Ave E, Wiggins, MS 39577
Phone: 601-928-6700    Fax: 601-928-6731
Melanie Linton Hughes, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 975 Hall St, Wiggins, MS 39577
Phone: 601-528-9119    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.