Lundy Davis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3570 Issued in SC

Practice address

51 Nassau St
Charleston, SC 29403-5513

Phone

(843) 722-4112

Fax

(843) 577-9550

NPI assigned

Oct 19, 2018

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

Medicare fee-for-service enrollment

Enrolled in SC

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

Physician Assistant

State licenses

Practice roles

Locations

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.

• Bon Secours St Francis Xavier Hospital, Inc.

  • Emergency Medicine Physician
  • Charleston, SC
  • NPI 1770867442
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1518454818
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Moncks Corner, SC
  • NPI 1659872059
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1982124301
  Medicare reassignment NPD
• Broad River Physicians Group, LLC

  • Emergency Medicine Physician
  • Summerville, SC
  • NPI 1295443000
  Medicare reassignment
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1003827304
  Medicare reassignment
• Roper Hospital Inc

  • Emergency Medicine Physician
  • Moncks Corner, SC
  • NPI 1104983055
  Medicare reassignment
• Roper St. Francis Mount Pleasant Hospital

  • Cardiovascular Disease Physician
  • Mt Pleasant, SC
  • NPI 1629499298
  Medicare reassignment
• Bon Secours St. Francis Xavier Hospital, Inc.

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1982583068
  NPD
• Fetter Health Care Network Inc

  • Federally Qualified Health Center (FQHC)
  • Hollywood, SC
  • NPI 1386792976
  NPD
• Roper Hospital Inc

  • Emergency Medicine Physician
  • Charleston, SC
  • NPI 1902991607
  NPD
• Roper Hospital Inc.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • N. Charleston, SC
  • NPI 1104563758
  NPD

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1518433366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513",
            "telephone_number": "843-722-4112",
            "fax_number": "843-577-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513",
            "telephone_number": "843-722-4112",
            "fax_number": "843-577-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LUNDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marable Davis, LPC,LCMHC
• Kimberly S Davis, MD
• Kortni Michelle Davis, PA-C
• Kristie None Davis, LMFT
• Lauren Bullwinkel Davis, D.M.D.
• Mary Grace Davis
• Natasha Davis, LISW-CP
• Piper Davis
• Rachel Davis, AGNP-C
• Rhiannan Davis, CRNA

• Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.