Sarah Vanecia Davidson, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-106332 Issued in AL

Practice address

209 Main Street
Wedowee, AL 36278

Phone

(256) 357-2111

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

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.

• Southern Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Anniston, AL
  • NPI 1467909978
  Medicare reassignment Care Compare group NPD
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1891031894
  Medicare reassignment NPD
• Alabama Physicians Group LLC

  • Emergency Medicine Physician
  • Anniston, AL
  • NPI 1750062527
  Medicare reassignment NPD
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• Cheaha Area Regional Emergency Specialists

  • Family Medicine Physician
  • Anniston, AL
  • NPI 1871656223
  Medicare reassignment NPD
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1194106443
  NPD

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1659720456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 HIGHWAY 46",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362646187",
            "telephone_number": "256-201-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN STREET",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "36278",
            "telephone_number": "256-357-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SARAH",
        "middle_name": "VANECIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-106332",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN174428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Lee Bolt, PHARM D
• Kimberly L Buckalew, CRNP
• Carrollton Surgical Group, P. a.
• Shanda Cotney, CRNP
• Richard Daniel, CRNP
• DMTT LLC
• DMTT LLC
• Michael D Edwards, DMD
• Elite Rehab Wedowee LLC
• Family Pharmacy Inc

• Family Nurse Practitioner in Wedowee, AL
• Providers in Wedowee, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.