Individual provider Active NPI

Nicole Elaine Davis, MD, PHARMD

  • Family Medicine Physician
  • Sebring, FL
National Provider Identifier
1386915627
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME162422 Issued in FL
Practice address
6325 US Highway 27 N Ste 201
Sebring, FL 33870-8226
Phone
(863) 382-9600
Fax
(863) 382-0107
NPI assigned
Jan 18, 2012
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14302 AL
Family Medicine Physician 207Q00000X ME162422 FL Primary

Addresses

Primary practice location

6325 US Highway 27 N Ste 201
Sebring, FL 33870-8226

Mailing address

1109 E Fairview Ave Apt 300
Montgomery, AL 36106-2239
Phone (205) 617-1177

Other practice location 1

4371 Narrow Lane Rd Ste 100
Montgomery, AL 36116-2975
Phone (334) 613-3680

Other practice location 2

3015 Lakeland Highlands Rd
Lakeland, FL 33803-4339
Phone (863) 687-1100

Other practice location 3

130 Pablo St
Lakeland, FL 33803-3818
Phone (863) 687-1100

Other practice location 4

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 687-1100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810002530 FL Practitioner - Family Practice 5395107197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100

6325 US Hwy 27 N
Sebring, FL 33870-8226
Phone (863) 471-3926

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
64.08
Promoting interoperability
98
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162422FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Feb 18, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Feb 18, 2025 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Walgreen Co Past Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3015 Lakeland Highlands Rd
Lakeland, FL 33803
Phone (863) 284-6860

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6325 US 27 N
Ste 201
Sebring, FL 33870
Phone (863) 382-9600

Interoperability endpoints

  • Direct secure messaging: ndavis4624238@adventhealth.direct-ci.com
  • Direct secure messaging: ndavis51169@lrhs.direct-ci.com

Organizations & group practices 4

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": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1386915627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 E FAIRVIEW AVE APT 300",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062239",
            "telephone_number": "205-617-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 US HIGHWAY 27 N STE 201",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708226",
            "telephone_number": "863-382-9600",
            "fax_number": "863-382-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4371 Narrow Lane Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162975",
            "country_code": "US",
            "telephone_number": "334-613-3680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 Lakeland Highlands Rd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034339",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Pablo St",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338033818",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Harden Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338037952",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD, PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14302",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.