Individual provider Active NPI

Angela Kay Davis, RN-MSN, FNP-C

  • Family Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1477119659
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0245286 Issued in AL
Practice address
1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone
(256) 492-9924
Fax
(256) 492-9965
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-136452 AL
Family Nurse Practitioner 363LF0000X 0245286 AL Primary

Addresses

Primary practice location

1102 Goodyear Ave
Gadsden, AL 35903-2008

Mailing address

5270 County Road 147
Leesburg, AL 35983-4905
Phone (256) 523-8191

Other practice location 1

5270 County Road 147
Leesburg, AL 35983-4905
Phone (256) 523-8191

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alcv@195.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20191107001503 AL Practitioner - Nurse Practitioner 4688006935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone (205) 971-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0245286ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1102 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-6505

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Interoperability endpoints

  • Direct secure messaging: angela.davis.1@9954.direct.athenahealth.com

Organizations & group practices 1

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1477119659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 COUNTY ROAD 147",
            "city": "LEESBURG",
            "state": "AL",
            "postal_code": "359834905",
            "telephone_number": "256-523-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032008",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5270 County Road 147",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "AL",
            "postal_code": "359834905",
            "country_code": "US",
            "telephone_number": "256-523-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RN-MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-136452",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "0245286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alcv@195.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "1102 Goodyear Ave",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359032008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.