Individual provider Active NPI

Melissa Ann Davis, FNP-BC

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1497480917
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113448 Issued in WV
Practice address
1731 Harper Rd
Beckley, WV 25801-3311
Phone
(304) 255-1541
Fax
(304) 253-7067
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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 113448 WV Primary

Addresses

Primary practice location

1731 Harper Rd
Beckley, WV 25801-3311

Mailing address

PO Box 539
Beckley, WV 25802-0539
Phone (304) 731-5293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20221010001884 WV Practitioner - Nurse Practitioner 8921484239 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113448WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Community Health Systems Inc CurrentSince Mar 11, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Oct 15, 2023 Accepting new patients
Beckley Oncology Associates Inc CurrentSince Jul 25, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Associates in OB GYN, Inc Past Accepting new patients

Locations

275 Dry Hill Rd
Beckley, WV 25801
Phone (304) 253-6060

1731 Harper Rd
Beckley, WV 25801
Phone (304) 255-1251

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • Direct secure messaging: melissa.davis.1@14333.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1497480917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258020539",
            "telephone_number": "304-731-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013311",
            "telephone_number": "304-255-1541",
            "fax_number": "304-253-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "113448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.