Active NPI
Elizabeth Corley Davenport-Fox, DNP, APRN, ANP-BC
- Adult Health Nurse Practitioner
- Greenwood, SC
National Provider Identifier
1619225430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 17952
- Practice address
- 105 Vinecrest CT # 300
Greenwood, SC 29646-8031 - Phone
- (864) 223-6625
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 17952 | SC | Primary |
Addresses
Primary practice location
105 Vinecrest CT # 300
Greenwood, SC 29646-8031
Mailing address
104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673
Other practice location 1
517 Puckett Ferry Rd
Greenwood, SC 29649
Phone (864) 388-4325
Other practice location 2
517 Puckett Ferry Rd
Greenwood, SC 29649
Phone (864) 388-4325
Other names 1
- Elizabeth Corley Davenport
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130823000823 | SC | Practitioner - Nurse Practitioner | 6709029754 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17952 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of South Carolina Medical PC | Current | Accepting new patients | |
| Premise Health of South Carolina Medical PC | Current | Accepting new patients | |
| Carolina Health Centers, Inc. | Past | Accepting new patients |
Locations
10 Parkway S
Greenville, SC 29615
Phone (864) 458-6933
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Greenville, SC
- NPI 1124315817
-
- Clinic/Center
- Greenville, SC
- NPI 1588972426
-
- Federally Qualified Health Center (FQHC)
- Newberry, SC
- NPI 1669166054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1619225430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463837",
"telephone_number": "864-725-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 VINECREST CT # 300",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296468031",
"telephone_number": "864-223-6625"
}
],
"practiceLocations": [
{
"address_1": "517 Puckett Ferry Rd",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "29649",
"country_code": "US",
"telephone_number": "864-388-4325",
"fax_number": "864-388-4327",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "517 Puckett Ferry Rd",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "29649",
"country_code": "US",
"telephone_number": "864-388-4325",
"fax_number": "864-388-4327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVENPORT-FOX",
"first_name": "ELIZABETH",
"middle_name": "CORLEY",
"credential": "DNP, APRN, ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "17952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "DAVENPORT",
"middle_name": "CORLEY",
"credential": "DNP, APRN, ANP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.