Individual provider Active NPI

Susan Davis, FNP

  • Family Nurse Practitioner
  • Covington, VA
National Provider Identifier
1194350512
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178925 Issued in VA
Practice address
919 S Craig Ave Ste a
Covington, VA 24426-1954
Phone
(540) 960-2231
Fax
(540) 960-2245
NPI assigned
Mar 5, 2020
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 0024178925 VA Primary

Addresses

Primary practice location

919 S Craig Ave Ste a
Covington, VA 24426-1954

Mailing address

PO Box 297
White Sulphur Springs, WV 24986-0297
Phone (304) 536-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200409002618 VA Practitioner - Nurse Practitioner 1052740255 Reassigns benefits to 5 organizations

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
Lake Spring Physician Services, LLCGroup PAC ID 1254689482, 89 clinicians
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians
Alliance Xpress Care LLCGroup PAC ID 5496063091, 16 clinicians

Practice addresses (Care Compare)

1155 N 4TH St
Suite 502
Wytheville, VA 24382-1097
Phone (276) 227-0375

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

5610 Williamson Rd
Roanoke, VA 24012-1442
Phone (540) 265-8924

919 S Craig Ave
Suite a
Covington, VA 24426-1954
Phone (540) 960-2231

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Xpress Care LLC CurrentSince Mar 4, 2020 Accepting new patients
Universal Health Corporation CurrentSince Aug 9, 2021 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Sep 1, 2024 Accepting new patients
Lake Spring Physician Services, LLC CurrentSince Nov 20, 2024 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Sep 1, 2024 Accepting new patients
Wvva Health Care Alliance, PC PastSince Mar 4, 2020 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

1155 N 4th St
Ste 502
Wytheville, VA 24382
Phone (276) 228-5069

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

1100 9th St
Ste E
Vienna, WV 26105

Interoperability endpoints

  • Direct secure messaging: susan.davis.1@19847.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1194350512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860297",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 S CRAIG AVE STE A",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261954",
            "telephone_number": "540-960-2231",
            "fax_number": "540-960-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SUSAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, VA

Sources for this page

Verify at the official NPI Registry.