Individual provider Active NPI

Harriette L. Davis, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1083960629
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17950 Issued in SC
Practice address
131 Harbison Blvd Ste a
Columbia, SC 29212-2226
Phone
(803) 485-1400
Fax
(803) 485-1405
NPI assigned
Aug 1, 2012
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17950 SC Primary

Addresses

Primary practice location

131 Harbison Blvd Ste a
Columbia, SC 29212-2226

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

905 Verdae Blvd Ste 101
Greenville, SC 29607-4098
Phone (864) 990-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20130522000423 SC Practitioner - Nurse Practitioner 0446498943 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

905 Verdae Blvd
Suite 101
Greenville, SC 29607-4098
Phone (864) 990-1910

Merit-based Incentive Payment System (MIPS)

Final score
83.98 of 100Reported as group
Quality
73.31
Promoting interoperability
100
Improvement activities
40
Cost
73.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Dec 4, 2017 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Dec 4, 2017 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
App of South Carolina Ed PLLC CurrentSince Oct 31, 2017 Accepting new patients
Newberry County Memorial Hospital CurrentSince Sep 18, 2012 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC CurrentSince Dec 5, 2018 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Sep 5, 2023 Accepting new patients
Newberry County Memorial Hospital CurrentSince Sep 18, 2012 Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

100 Palmetto Health Pkwy
Ste 104
Columbia, SC 29212
Phone (803) 434-5668

131 Harbison Blvd
Ste A
Columbia, SC 29212
Phone (803) 485-1400

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

905 Verdae Blvd
Ste 101
Greenville, SC 29607
Phone (864) 286-7550

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

1830 Pondfield Rd
Ste A1
Newberry, SC 29108
Phone (803) 405-7140

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

111 John Lawson Ave
Santee, SC 29142
Phone (781) 280-1577

Interoperability endpoints

  • Direct secure messaging: hdavis727455@direct.ghs.myhfn.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1083960629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HARBISON BLVD STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122226",
            "telephone_number": "803-485-1400",
            "fax_number": "803-485-1405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Verdae Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074098",
            "country_code": "US",
            "telephone_number": "864-990-1910",
            "fax_number": "864-990-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HARRIETTE",
        "middle_name": "L.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.