Active NPI
Shirea Davis, FNP-C
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000025893
- Practice address
- 1215 Poplar Ave
Memphis, TN 38104-7241 - Phone
- (901) 472-4190
- NPI assigned
- Jun 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000025893 | TN | Primary |
Addresses
Primary practice location
1215 Poplar Ave
Memphis, TN 38104-7241
Mailing address
4377 Barrymor Dr
Memphis, TN 38125-3119
Phone (901) 262-0775
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
Family, TN
-
- Infusion Therapy Clinic/Center
- Overland Park, KS
- NPI 1801025481
-
- Infusion Therapy Clinic/Center
- Lowell, AR
- NPI 1902298342
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-South Nephrology Consultants PLLC
Practice addresses (Care Compare)
310 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 565-0244
6490 Mount Moriah Rd Ext
Memphis, TN 38115-3841
Phone (901) 547-6401
7318 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 565-0244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210920000877 | TN | Practitioner - Nurse Practitioner | 8325312754 | Reassigns benefits to 3 organizations |
| I20220718003947 | TN | Practitioner - Nephrology | 8325312754 | Reassigns benefits to 1 organization |
| I20221018002776 | MS | Practitioner - Nurse Practitioner | 8325312754 | Reassigns benefits to 1 organization |
| I20221019000018 | AR | Practitioner - Nurse Practitioner | 8325312754 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Nephrology Consultants PLLC | Current | Accepting new patients | |
| Infusion Express of Tennessee, PC | Current | Accepting new patients | |
| The Little Clinic of Tennessee LLC | Family | Current | Accepting new patients |
| Ivxpress Inc | Past | Accepting new patients | |
| Precision Health Care, Inc | Past | Accepting new patients |
Locations
210 Barrow Hill Rd
Forrest City, AR 72335
Phone (870) 630-6484
310 S Rhodes St
West Memphis, AR 72301
Phone (870) 735-5445
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
7318 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-2548
5111 Peter Taylor Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 510-6002
214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686
7443 Commons Blvd
Ste 114
Chattanooga, TN 37421
Phone (423) 558-0677
4007 Lebanon Pike
Hermitage, TN 37076
6216 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 243-8100
7735 Farmington Blvd
Memphis, TN 38138
Phone (901) 754-5124
6490 Mount Moriah Road Ext
Ste 200
Memphis, TN 38115
1428 Monroe Ave
Memphis, TN 38104
Phone (901) 272-2667
6490 Mount Moriah Road Ext
Ste 102
Memphis, TN 38115
Phone (901) 547-6401
2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140
Interoperability endpoints
- sdavis45344@direct.acumenmd.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1124642491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4377 BARRYMOR DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381253119",
"telephone_number": "901-262-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381047241",
"telephone_number": "901-472-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHIREA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000025893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.