Cody Buckner Davis, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-109209 Issued in AL

Practice address

1007 Goodyear Ave
Gadsden, AL 35903-1195

Phone

(256) 494-4573

Fax

(256) 494-4575

NPI assigned

Feb 22, 2012

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cody.davis.1@1831.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4

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.

• Gadsden Regional Physician Group Practice LLC

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1558506550
  Medicare reassignment NPD
• GK Healthcare Solutions, LLC

  dba Optima Advanced Healing

  • Physician Assistant
  • Nolensville, TN
  • NPI 1699590661

  AL

  Medicare reassignment NPD
• Pegasus Emergency Group Gadsden, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1669706214
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1588937452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4573",
            "fax_number": "256-494-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4573",
            "fax_number": "256-494-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CODY",
        "middle_name": "BUCKNER",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-109209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cody.davis.1@1831.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1007 Goodyear Ave",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359031195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth K Davenport, MD
• David Judge, MD, PC
• Angela Kay Davis, RN-MSN, FNP-C
• Anna Lessley Davis, O.D.
• Cecil Chadwick Davis, ED.D, ALC
• Deborah Davis, C.R.N.P.
• Jessica Hope Davis, CRNP
• Joshua Scott Davis, PHARM.D.
• Rana Davis, FNP-C
• Ann De Jong, MD

• Family Nurse Practitioner in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.