Individual provider Active NPI

Katherine Nettie Davis, ACNP

  • Acute Care Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1053807560
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN235646 Issued in GA
Practice address
6301 Abercorn St
Savannah, GA 31405-5701
Phone
(912) 352-8700
Fax
(912) 650-6805
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN235646 GA Primary
Nurse Practitioner 363L00000X RN235646 GA

Addresses

Primary practice location

6301 Abercorn St
Savannah, GA 31405-5701

Mailing address

6301 Abercorn St
Savannah, GA 31405-5701
Phone (912) 352-8700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdavis53541@epicsav.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20181112002665 GA Practitioner - Nurse Practitioner 8628322518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

6301 Abercorn St
Savannah, GA 31405-5701
Phone (912) 350-7020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN235646GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Multispecialty Associates, LLC CurrentSince Oct 28, 2019 Accepting new patients

Locations

6301 Abercorn St
Savannah, GA 31405
Phone 9123528700 ext. 127

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

Organizations & group practices 1

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053807560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055701",
            "telephone_number": "912-352-8700",
            "fax_number": "912-650-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055701",
            "telephone_number": "912-352-8700",
            "fax_number": "912-650-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHERINE",
        "middle_name": "NETTIE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN235646",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN235646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdavis53541@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "6301 Abercorn St",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314055701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.