Courtney Lane Davis, FNP-C, AGACNP-BC
Individual provider Active NPI Family Nurse Practitioner · Crawfordville, FL
NPI 1609336296 · NPPES record last updated Sep 12, 2026
Key facts
- NPI
- 1609336296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11002624 (FL)
- Practice address
- 71 Songbird Ave Ste D
Crawfordville, FL 32327-2296 - Phone
- (850) 343-5800
- Fax
- (850) 343-5700
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190909002861 | FL | Practitioner - Nurse Practitioner | 1658600150 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11002624 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Oliver Emergency Group, LLC | Current |
Accepting new patients | |
| Paragon Emergency Services LLC | Current |
Accepting new patients | |
| Patients First Lake Ella Medical Center P a | Current |
Accepting new patients | |
| Forward Wellness Group, LLC | Family | Current |
Accepting new patients |
| Lake Oliver Emergency Group, LLC | Current |
Accepting new patients |
Locations
1616 Crawfordville Hwy
Ste D
Crawfordville, FL 32327
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
3157 N Monroe St
Tallahassee, FL 32303
Phone (850) 325-5888
1690 N Monroe St
Tallahassee, FL 32303
Phone (850) 385-2222
590 Lanier Ave W
Fayetteville, GA 30214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11002624 | FL | Yes |
| Acute Care Nurse Practitioner | 363LA2100X | APRN11002624 | FL |
Addresses
Primary practice location
71 Songbird Ave Ste D
Crawfordville, FL 32327-2296
Mailing address
42 Egret St N
Crawfordville, FL 32327-1411
Phone (573) 855-2887
Other names
- Courtney Darlene Lane
Other providers in Crawfordville, FL
- Jillian Blackman Crymes
- Justin Lee Crymes
- Ronda Lee Curtis
- Bob Cutlip
- Sarah Dahrens
- Jennifer Dean
- Dennis R. Mooney DDS, LLC
- Disc Village, Inc.
- Doc Haley Enterprises, LLC
- Dos of Eden Springs LLC
All providers in Crawfordville, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.