Individual provider Active NPI

De'Ja Danielle Davis, CRNP

  • Nurse Practitioner
  • Thomasville, AL
National Provider Identifier
1316797632
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-164484 Issued in AL
Practice address
1517 Ridgeway St
Thomasville, AL 36784-3429
Phone
(251) 605-7272
NPI assigned
Mar 27, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-164484 AL Primary
Family Medicine Physician 207Q00000X 1-164484 AL

Addresses

Primary practice location

1517 Ridgeway St
Thomasville, AL 36784-3429

Mailing address

1517 Ridgeway St
Thomasville, AL 36784-3429
Phone (251) 605-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240415001981 AL Practitioner - Nurse Practitioner 2769821495 Reassigns benefits to 2 organizations
I20241114002055 AL Practitioner - Family Practice 2769821495

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Alabama LLCGroup PAC ID 2264681220, 25 clinicians

Practice addresses (Care Compare)

1 Perimeter Park S
Suite 100N
Birmingham, AL 35243-3248
Phone (877) 260-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CH MSSP Services Al LLC CurrentSince Apr 29, 2025 Accepting new patients
Curana Health of Alabama LLC Family Medicine CurrentSince Apr 2, 2024 Accepting new patients

Locations

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1316797632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 RIDGEWAY ST",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843429",
            "telephone_number": "251-605-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 RIDGEWAY ST",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843429",
            "telephone_number": "251-605-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DE'JA",
        "middle_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-164484",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-164484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, AL

Sources for this page

Verify at the official NPI Registry.