Individual provider Active NPI

Lindsay K Davis, CRNP

  • Pediatric Nurse Practitioner
  • Southside, AL
National Provider Identifier
1679136691
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-143160 Issued in AL
Practice address
1322 Highway 77
Southside, AL 35907-0406
Phone
(256) 344-7070
NPI assigned
Apr 16, 2019
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-143160 AL Primary

Addresses

Primary practice location

1322 Highway 77
Southside, AL 35907-0406

Mailing address

1322 Highway 77
Southside, AL 35907-0406
Phone (256) 344-7070

Other identifiers 1

IdentifierTypeStateIssuer
350196MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-143160ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Pediatrics, LLC CurrentSince Nov 3, 2024 Accepting new patients
Horizon Medical Clinic LLC CurrentSince Mar 7, 2021 Accepting new patients
Growing Up Pediatrics, P.C. Past Accepting new patients

Locations

2343 2nd Ave E
Oneonta, AL 35121
Phone (205) 625-3332

2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332

1322 Highway 77
Southside, AL 35907
Phone (256) 344-7070

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1679136691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070406",
            "telephone_number": "256-344-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070406",
            "telephone_number": "256-344-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSAY",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-143160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350196",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southside, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.