Individual provider Active NPI

Katrina Davis, MD

  • Obstetrics Physician
  • Sarasota, FL
National Provider Identifier
1306936893
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
ME119712 Issued in FL
Practice address
2439 Bee Ridge Rd
Sarasota, FL 34239-6304
Phone
(941) 343-0609
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME119712 FL
Obstetrics Physician 207VX0000X ME119712 FL Primary

Addresses

Primary practice location

2439 Bee Ridge Rd
Sarasota, FL 34239-6304

Mailing address

101 Eyster Blvd
Rockledge, FL 32955-3608
Phone (321) 806-3929

Other identifiers 1

IdentifierTypeStateIssuer
3850497MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sarasota Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100428000235 AR Practitioner - Obstetrics/Gynecology 9335276146 Reassigns benefits to 1 organization
I20141201001052 FL Practitioner - Obstetrics/Gynecology 9335276146 Reassigns benefits to 1 organization
I20250218001048 MS Practitioner - Obstetrics/Gynecology 9335276146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME119712FLMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince May 25, 2024 Accepting new patients
Sarasota OB GYN Associates, PA CurrentSince Mar 1, 2020 Accepting new patients
Arkansas Health Group CurrentSince May 25, 2024 Accepting new patients
Obhg Mississippi, P.C. CurrentSince Dec 16, 2024 Accepting new patients
Manasota OBGYN Associates LLC CurrentSince Feb 19, 2018 Accepting new patients

Locations

9501 Baptist Health Dr
Ste 800
Little Rock, AR 72205
Phone (501) 223-2080

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

3400 Tamiami Trl
Ste 102
Pt Charlotte, FL 33952
Phone (941) 625-5855

2439 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 343-0609

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

Interoperability endpoints

  • Direct secure messaging: kdavis3847@direct.baptist-healthar.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1306936893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EYSTER BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553608",
            "telephone_number": "321-806-3929",
            "fax_number": "877-362-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396304",
            "telephone_number": "941-343-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME119712",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME119712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3850497",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sarasota",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Sarasota",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Sarasota",
            "address_1": "2439 Bee Ridge Rd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342396304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.