Heidi Jolene Davis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21653 Issued in SC

Practice address

3583 Highway 17
Murrells Inlet, SC 29576-5002

Phone

(843) 357-4357

Fax

(843) 357-4359

NPI assigned

Feb 16, 2018

Last updated

Feb 16, 2018By 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 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Urgent Care Murrells Inlet LLCGroup PAC ID 2961641105, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: southernurgentcare.heididavis@142916.advancedmd-direct.com

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.

• Southern Urgent Care Murrell's Inlet LLC

  • Urgent Care Clinic/Center
  • Murrells Inlet, SC
  • NPI 1235474727
  Medicare reassignment Care Compare group NPD
• Southern Comprehensive and Behavioral Health Associates LLC

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1730602285
  Medicare reassignment NPD
• Medicos, P.a.

  • Internal Medicine Physician
  • North Myrtle Beach, SC
  • NPI 1548024540
  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1184124091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765002",
            "telephone_number": "843-357-4357",
            "fax_number": "843-357-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765002",
            "telephone_number": "843-357-4357",
            "fax_number": "843-357-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEIDI",
        "middle_name": "JOLENE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy
• Cyto Lab Inc.
• Samuel Daniel, MD
• Davis Chiropractic of Myrtle Beach, Inc.
• Courtney Rae Davis, MS, CGC
• Jefferson Charles Davis, D.C.
• Nancy Whitford Davis, LPC
• Leslee Ann De Paul, NURSE PRACTITIONER
• Deangelo Chiropractic Inc (DeAngelo Chiropractic)
• Rachel Decker

• Family Nurse Practitioner in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.