Individual provider Active NPI

Miranda Greer Davis, WHNP

  • Women's Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1558016758
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-169000 Issued in AL
Practice address
2817 30TH Ave N
Birmingham, AL 35207-4541
Phone
(205) 407-5600
NPI assigned
Feb 16, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-169000 AL Primary

Addresses

Primary practice location

2817 30TH Ave N
Birmingham, AL 35207-4541

Mailing address

720 Lovejoy Rd
Ashville, AL 35953-5865
Phone (256) 295-8706

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
I20240306000359 AL Practitioner - Nurse Practitioner 5698111201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Regional Medical Services CurrentSince Dec 22, 2023 Accepting new patients
Alabama Regional Medical Services CurrentSince Dec 22, 2023 Accepting new patients

Locations

2817 30th Ave N
Birmingham, AL 35207
Phone (205) 323-4548

712 25th St N
Birmingham, AL 35203
Phone (205) 323-5311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1558016758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LOVEJOY RD",
            "city": "ASHVILLE",
            "state": "AL",
            "postal_code": "359535865",
            "telephone_number": "256-295-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 30TH AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074541",
            "telephone_number": "205-407-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MIRANDA",
        "middle_name": "GREER",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-169000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.