Individual provider Active NPI

Elizabeth Corley Davenport-Fox, DNP, APRN, ANP-BC

  • Adult Health Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1619225430
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
17952 Issued in SC
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

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130823000823 SC Practitioner - Nurse Practitioner 6709029754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17952SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of South Carolina Medical PC Current Accepting new patients
Premise Health of South Carolina Medical PC CurrentSince May 12, 2020 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.

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

Verify at the official NPI Registry.