Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC in Stockbridge, GA

Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stockbridge, Georgia. Her current practice location is 831 Fairways Ct, Ste #1, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 861-0827.

Mrs Myrtle Howard Davenport is licensed to practice in Georgia (license number RN219619) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710402979.

Contact Information

	Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC
	831 Fairways Ct, Ste #1, Stockbridge, GA 30281
	(404) 861-0827
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Myrtle Howard Davenport
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	831 Fairways Ct, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710402979
Provider Enumeration Date: 08/09/2017
Last Update Date: 10/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2365852589
Enrollment ID: I20201029000731

Medical Identifiers

Medical identifiers for Mrs Myrtle Howard Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710402979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN219619 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN219619 (Georgia)	Primary

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. Mrs Myrtle Howard Davenport allows following entities to bill medicare on her behalf.

Entity Name	D L Murray Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720379696 PECOS PAC ID: 9830374842 Enrollment ID: O20110505000788

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. Mrs Myrtle Howard Davenport 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 Address	Practice Location Address
Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC 920 Dannon Vw Sw, Ste 3103, Atlanta, GA 30331-2158 Ph: (404) 549-9471	Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC 831 Fairways Ct, Ste #1, Stockbridge, GA 30281 Ph: (404) 861-0827

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213

Mrs Myrtle Howard Davenport, NP-C, PMHNP-BC - Medicare Nurse Practitioner in Stockbridge, GA