NPIMap

Individual provider Active NPI

Deja Davis, DNP

  • Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1205465986
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024178059 Issued in VA
Practice address
150 Burnetts Way Ste 320
Suffolk, VA 23434-8288
Phone
(757) 934-1900
Fax
(757) 925-6719
NPI assigned
Apr 5, 2020
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178059 VA
Nurse Practitioner 363L00000X 0024178059 VA Primary

Addresses

Primary practice location

150 Burnetts Way Ste 320
Suffolk, VA 23434-8288

Mailing address

5839 Harbour View Blvd Ste 201
Suffolk, VA 23435-3797
Phone (757) 934-1900

Other practice location 1

5839 Harbour View Blvd Ste 201
Suffolk, VA 23435-3797
Phone (757) 967-0676

Other identifiers 1

IdentifierTypeStateIssuer
0024178059MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deja.davis@suffolkneuro.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119002337 VA Practitioner - Nurse Practitioner 4284045428 Reassigns benefits to 1 organization

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
Neurology Associates of Suffolk PLLCGroup PAC ID 0244373942, 4 clinicians

Practice addresses (Care Compare)

150 Burnetts Way
Suite 320
Suffolk, VA 23434-8288
Phone (757) 934-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Suffolk, PLLC CurrentSince Jul 16, 2020 Accepting new patients

Locations

150 Burnetts Way
Ste 320
Suffolk, VA 23434
Phone (757) 934-1900

5839 Harbour View Blvd
Ste 201
Suffolk, VA 23435
Phone (757) 967-0406

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71433

Organizations & group practices 1

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1205465986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 201",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353797",
            "telephone_number": "757-934-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY STE 320",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348288",
            "telephone_number": "757-934-1900",
            "fax_number": "757-925-6719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5839 Harbour View Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353797",
            "country_code": "US",
            "telephone_number": "757-967-0676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEJA",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178059",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024178059",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deja.davis@suffolkneuro.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "DeJa Davis, DNP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5839 Harbour View Blvd Ste 201",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234353797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.