Active NPI
Sueanne Davidson, NP
- Nurse Practitioner
- Aliceville, AL
National Provider Identifier
1508806308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R865907
- Practice address
- 108 5TH St NE
Aliceville, AL 35442-2200 - Phone
- (205) 373-3945
- NPI assigned
- Jun 8, 2006
- Last updated
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-06250 | AL | |
| Nurse Practitioner | 363L00000X | R865907 | MS | Primary |
Addresses
Primary practice location
108 5TH St NE
Aliceville, AL 35442-2200
Mailing address
PO Box 211
Carrollton, AL 35447-0211
Phone (205) 399-1433
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562251777 | Other | MS | BLUE CROSS |
| P00191280 | Other | MS | RAILROAD MEDICARE |
| 08470589 | Medicaid | MS |
Other names 1
- Susan Mordecai Davidson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 5TH St NE
Aliceville, AL 35442-2200
Phone (205) 373-3945
129 Ctr St
Richland, MS 39218-4800
Phone (769) 233-7141
81 Windsor Blvd
Windsor Place SNF
Columbus, MS 39702-3143
Phone (601) 206-0901
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-06250 | AL | MD | Nurse Practitioner |
| R865907 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aliceville Family Practice, LLC | Single Specialty | Current | Accepting new patients |
| United Emergency Services of Mississippi | Single Specialty | Past | Accepting new patients |
| Columbus Emergency Services, LLC | Single Specialty | Past | Accepting new patients |
| Sterling Emergency Services of Mississippi, Inc | Single Specialty | Past | Accepting new patients |
Locations
108 5th St NE
Aliceville, AL 35442
Phone (205) 373-3945
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Aliceville, AL
- NPI 1669037446
Single Specialty
-
dba Rankin Rural Medical Clinic
- Rural Health Clinic/Center
- Richland, MS
- NPI 1740555267
-
- Family Medicine Physician
- Jackson, MS
- NPI 1871883223
-
- Nurse Practitioner
- Jackson, MS
- NPI 1932167533
Single Specialty
-
- Emergency Medicine Physician
- Columbus, MS
- NPI 1801983309
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1508806308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211",
"city": "CARROLLTON",
"state": "AL",
"postal_code": "354470211",
"telephone_number": "205-399-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 5TH ST NE",
"city": "ALICEVILLE",
"state": "AL",
"postal_code": "354422200",
"telephone_number": "205-373-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "SUEANNE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-06250",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R865907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "562251777",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00191280",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08470589",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "DAVIDSON",
"middle_name": "MORDECAI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Aliceville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.