Susan A Davis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04515 Issued in LA

Practice address

2801 Fourth St Ste 2
Jonesville, LA 71343-2027

Phone

(318) 339-9901

Fax

(318) 339-9941

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10610/brand/1/csg/1/fhir/r4
• Direct secure messaging: susan.davis.1@10610.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kidcare Louisiana, LLC

  dba Kidcare Jonesville

  • Rural Health Clinic/Center
  • Jonesville, LA
  • NPI 1073903910

  5% Or Greater Indirect Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Tillman Medical Group PA

  • Specialist
  • Vidalia, LA
  • NPI 1043260615
  Medicare reassignment NPD
• Kidcare Louisiana, LLC

  dba Kidcare Jonesville

  • Rural Health Clinic/Center
  • Jonesville, LA
  • NPI 1073903910

  Family

  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1396794723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 FOURTH ST STE 2",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432027",
            "telephone_number": "318-339-9901",
            "fax_number": "318-339-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FOURTH ST STE 2",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432027",
            "telephone_number": "318-339-9901",
            "fax_number": "318-339-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623814",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Denise Ceasar
• Alliyah Ceasor
• Columns SNF Operations LLC (The Columns Healthcare Center)
• Commcare Corporation (The Columns Community Care Center)
• Addison Creel, DPT
• Delta Med Clinic LLC (Delta Med Clinic)
• Dr Dulam Health Care Center
• Dr.William C. Coney
• Franklin Parish Hospital Service Dist 1
• Beth Harris

• Family Nurse Practitioner in Jonesville, LA
• Providers in Jonesville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.