Kimberly Ann Davis, FNPBC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN120009 Issued in GA

Practice address

24 Glendale Ave Ste K
Baxley, GA 31513-0245

Phone

(912) 705-5394

Fax

(912) 705-5396

NPI assigned

Feb 20, 2012

Last updated

Oct 31, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Appling Healthcare Hospital, Baxley, GA, CCN 110071

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.davis@2849.securemail.prognocis.com

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.

• Precision Family Healthcare, LLC

  • Family Nurse Practitioner
  • Baxley, GA
  • NPI 1396163820
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Baxley and Appling County Hospital Authority

  dba appling healthcare system

  • General Acute Care Hospital
  • Baxley, GA
  • NPI 1861615304
  Care Compare affiliation

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1629341862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GLENDALE AVE STE K",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130245",
            "telephone_number": "912-705-5394",
            "fax_number": "912-705-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GLENDALE AVE STE K",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130245",
            "telephone_number": "912-705-5394",
            "fax_number": "912-705-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNPBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2022-10-31",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN120009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cothern, FNP-BC
• John E Crane, MD
• CRH Physician Practices LLC (CRH Women's Center)
• CRH Physician Practices LLC (CRH Surgical Group)
• Manuel B Cuesta, M.D.
• Amanda Nicole Deen, MSN, FNP-BC
• Deeper Waters Emdr
• Dental Center of Baxley
• Ray Ashley Dixon, PHARMD
• Doctors of Compassionate Services

• Family Nurse Practitioner in Baxley, GA
• Providers in Baxley, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.