Linnie Davis
Individual provider Active NPI Family Nurse Practitioner · Alma, GA
NPI 1679338024 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1679338024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F01240295 (GA)
- Practice address
- 204 E 15TH St
Alma, GA 31510-2908 - Phone
- (912) 632-2952
- Fax
- (912) 632-8682
- NPI assigned
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bacon County Health Services, Inc.
Sciometrix Inc
Practice addresses (Care Compare)
302 S Wayne St
Alma, GA 31510-2922
302 S Wayne St
Bacon Co Hospital
Alma, GA 31510-0987
Phone (912) 632-8961
3900 Crown Rd SW
Suite 16709
Atlanta, GA 30304-0001
Phone (860) 335-5064
PO Box
Suite 1987
Alma, GA 31510
Hospital & facility affiliations
- Bacon County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240416002581 | GA | Practitioner - Nurse Practitioner | 5395184931 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01240295 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sciometrix Inc | Current |
Accepting new patients | |
| Bacon County Health Services, Inc. | Current |
Accepting new patients | |
| Bacon County Health Services, Inc. | Past | Accepting new patients | |
| Bacon County Health Services, Inc. | Family | Past | Accepting new patients |
| Sciometrix LLC | Past |
Accepting new patients | |
| Bacon County Health Services, Inc | Past | Accepting new patients |
Locations
301 S Baker St
Alma, GA 31510
Phone (912) 632-7293
302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961
204 E 15th St
Alma, GA 31510
Phone (912) 632-2952
1205 Van Streat Hwy
Nicholls, GA 31554
Phone (912) 345-2474
306 S Washington Ave
Ste 600
Royal Oak, MI 48067
Interoperability endpoints
- linnie.davis@bacon.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F01240295 | GA | Yes |
Addresses
Primary practice location
204 E 15TH St
Alma, GA 31510-2908
Mailing address
204 E 15TH St
Alma, GA 31510-2908
Other providers in Alma, GA
- Sheryl Turner Cox
- McKenzie Craft
- CRH Physician Practices, LLC
- CRH Physician Practices, LLC
- Kayla Davis
- Sarah Kate Day
- Michael S. Deen
- Arianne Dela Cruz
- Douglas Internal Medicine P.C.
- Jennifer Darlene Dowling
All providers in Alma, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.