Alicia Paige Davis, DNP, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905086 Issued in MS

Practice address

219 8TH St N
Columbus, MS 39701-4723

Phone

(662) 610-4966

NPI assigned

Jan 4, 2022

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alicia.davis.1@25510.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25510/brand/1/csg/1/fhir/r4

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

• Premier Family Practice, LLC

  dba Premier Family Practice

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1023779808

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1043971898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 8TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014723",
            "telephone_number": "662-573-4800",
            "fax_number": "833-673-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 8TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014723",
            "telephone_number": "662-610-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALICIA",
        "middle_name": "PAIGE",
        "credential": "DNP, CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navid S Dara, MD
• Audie Dauber
• David Ashley MD DMD Oral Surgery Group, a Professional Dental Corp (Oral Surgery and Wisdom Teeth of Mississippi)
• Janice Davidson, PHD FNP-BC FAANP
• Phyllis Davis-Webber
• Brandi Nicole Davis, A.U.D.
• Olivia Davis, MA
• William Christopher Davis, CRNA
• Sacha Dawn Dawkins, N.P.
• Clint Hester Dean, AUDIOLOGIST

• Family Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.