Courtney Lane Davis, FNP-C, AGACNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11002624 Issued in 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

Last updated

Sep 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Courtney Darlene Lane Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1013675016
  Medicare reassignment NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment NPD
• Patients First Lake Ella Medical Center P a

  dba Patients First Lake Ella

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1164524039
  Medicare reassignment NPD
• Forward Wellness Group, LLC

  dba Forward Wellness

  • Family Nurse Practitioner
  • Crawfordville, FL
  • NPI 1891416301
  NPD Authorized official
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1548921034
  NPD

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1609336296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 EGRET ST N",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271411",
            "telephone_number": "573-855-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SONGBIRD AVE STE D",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272296",
            "telephone_number": "850-343-5800",
            "fax_number": "850-343-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "COURTNEY",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11002624",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LANE",
            "middle_name": "DARLENE",
            "credential": "FNP-C, AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jillian Blackman Crymes, LCSW
• Justin Lee Crymes, LMHC
• Ronda Lee Curtis
• Bob Cutlip
• Sarah Dahrens, APRN
• Jennifer Dean, PHARMD, RPH
• Dennis R. Mooney DDS, LLC
• Disc Village, Inc.
• Doc Haley Enterprises, LLC (Real Recovery 850)
• Dos of Eden Springs LLC

• Family Nurse Practitioner in Crawfordville, FL
• Providers in Crawfordville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.