Individual provider Active NPI

Shirea Davis, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1124642491
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000025893 Issued in TN
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

Updated by the provider on Jun 3, 2020

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 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.

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 14 clinicians

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, AR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Mid-South Nephrology Consultants PLLC CurrentSince Jul 1, 2022 Accepting new patients
Infusion Express of Tennessee, PC CurrentSince Sep 1, 2021 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Nov 8, 2021 Accepting new patients
Ivxpress Inc PastSince Sep 1, 2021 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.