Individual provider Active NPI

George Davis III, APRN

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1316537343
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008726 Issued in FL
Practice address
5290 Applegate Dr
Spring Hill, FL 34606-4507
Phone
(352) 686-3101
Fax
(352) 688-8713
NPI assigned
Jan 23, 2021
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 11008726 FL Primary

Addresses

Primary practice location

5290 Applegate Dr
Spring Hill, FL 34606-4507

Mailing address

8635 Hawbuck St
Trinity, FL 34655-5307
Phone (727) 359-1669

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address george.davis@direct.moffitt.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210729001387 FL Practitioner - Nurse Practitioner 1759784697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians

Practice addresses (Care Compare)

5290 Applegate Dr
Spring Hill, FL 34606-4507
Phone (352) 686-3101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008726FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Care Physicians LLC CurrentSince Jun 1, 2022 Accepting new patients
Access Health Care LLC Past Accepting new patients

Locations

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

5290 Applegate Dr
Spring Hill, FL 34606
Phone (352) 405-5740

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1316537343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 HAWBUCK ST",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555307",
            "telephone_number": "727-359-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 APPLEGATE DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064507",
            "telephone_number": "352-686-3101",
            "fax_number": "352-688-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-23",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george.davis@direct.moffitt.org",
            "affiliation": "N",
            "address_1": "12902 Usf Magnolia Dr",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336129416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.