Individual provider Active NPI

Breanna Faith Davis, FNP-C

  • Family Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1023851458
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907805 Issued in MS
Practice address
118 Fairfield Dr
New Albany, MS 38652-3107
Phone
(662) 534-0898
Fax
(662) 534-8905
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907805 MS Primary
Registered Nurse 163W00000X 918465 MS

Addresses

Primary practice location

118 Fairfield Dr
New Albany, MS 38652-3107

Mailing address

118 Fairfield Dr
New Albany, MS 38652-3107
Phone (662) 534-0898

Other practice location 1

119 City Market Dr
Saltillo, MS 38866-7002
Phone (662) 534-0898

Other identifiers 1

IdentifierTypeStateIssuer
200025763MedicaidMS

Other names 1

  • Breanna Faith Yarbrough Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdavis715634@direct.bmhcc.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114000754 MS Practitioner - Nurse Practitioner 3870079478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

118 Fairfield Dr
New Albany, MS 38652-3107
Phone 6625340898215

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
918465MSMDRegistered Nurse
907805MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Pediatric Clinic of New Albany, PLLC Family CurrentSince Jan 6, 2026 Accepting new patients
Internal Medicine and Pediatric Clinic of New Albany, PLLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

118 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0898

119 City Market Dr
Saltillo, MS 38866
Phone (662) 534-0898

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1023851458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FAIRFIELD DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523107",
            "telephone_number": "662-534-0898",
            "fax_number": "662-534-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FAIRFIELD DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523107",
            "telephone_number": "662-534-0898",
            "fax_number": "662-534-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 City Market Dr",
            "address_purpose": "LOCATION",
            "city": "Saltillo",
            "state": "MS",
            "postal_code": "388667002",
            "country_code": "US",
            "telephone_number": "662-534-0898",
            "fax_number": "662-534-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BREANNA",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907805",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "918465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200025763",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdavis715634@direct.bmhcc.org",
            "affiliation": "N",
            "endpointDescription": "EPIC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 Fairfield Dr",
            "city": "New Albany",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386523107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "YARBROUGH",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.