Individual provider Active NPI

Linnie Davis

  • Family Nurse Practitioner
  • Alma, GA
National Provider Identifier
1679338024
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01240295 Issued in GA
Practice address
204 E 15TH St
Alma, GA 31510-2908
Phone
(912) 632-2952
Fax
(912) 632-8682
NPI assigned
Feb 15, 2024
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01240295 GA Primary

Addresses

Primary practice location

204 E 15TH St
Alma, GA 31510-2908

Mailing address

204 E 15TH St
Alma, GA 31510-2908

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240416002581 GA Practitioner - Nurse Practitioner 5395184931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F01240295GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Oct 15, 2025 Accepting new patients
Bacon County Health Services, Inc. CurrentSince May 1, 2024 Accepting new patients
Bacon County Health Services, Inc. Family Past Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients
Bacon County Health Services, Inc Past Accepting new patients
Bacon County Health Services, Inc. Past Accepting new patients

Locations

204 E 15th St
Alma, GA 31510
Phone (912) 632-2952

301 S Baker St
Alma, GA 31510
Phone (912) 632-2952

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

1205 Van Streat Hwy
Nicholls, GA 31554
Phone (912) 345-2474

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Interoperability endpoints

  • Direct secure messaging: linnie.davis@bacon.gadirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1679338024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102908",
            "telephone_number": "912-632-2952",
            "fax_number": "912-632-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F01240295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, GA

Sources for this page

Verify at the official NPI Registry.