Individual provider Active NPI

Debra Lynne Davis, FNP-C

  • Family Nurse Practitioner
  • Pittsboro, NC
National Provider Identifier
1689027153
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206742 Issued in NC
Practice address
398 Durham Bailey LN
Pittsboro, NC 27312-9705
Phone
(919) 542-3986
NPI assigned
Jul 19, 2016
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 206742 NC Primary

Addresses

Primary practice location

398 Durham Bailey LN
Pittsboro, NC 27312-9705

Mailing address

398 Durham Bailey LN
Pittsboro, NC 27312-9705
Phone (919) 542-3986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ME, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220427001603 OR Practitioner - Nurse Practitioner 2466730296 Reassigns benefits to 2 organizations
I20230314000412 ME Practitioner - Nurse Practitioner 2466730296 Reassigns benefits to 2 organizations
I20230811001303 WA Practitioner - Nurse Practitioner 2466730296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Access Network IncGroup PAC ID 2769393180, 24 clinicians

Practice addresses (Care Compare)

175 W Broadway
Lincoln, ME 04457-4000
Phone (207) 794-6700

PO Box
Lincoln, ME 04457

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
206742NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince May 1, 2022 Accepting new patients
Mid-Columbia Medical Center Family Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 19, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 21, 2023 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Health Access Network, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Mid-Columbia Medical Center CurrentSince May 1, 2022 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 21, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 19, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 19, 2023 Accepting new patients

Locations

5 Central Maine Xing
Gardiner, ME 04345
Phone (207) 582-6608

149 North St
Waterville, ME 04901
Phone (207) 622-1959

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

19185 SW 90th Ave
Tualatin, OR 97062
Phone (503) 723-6699

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 11

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1689027153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 DURHAM BAILEY LN",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129705",
            "telephone_number": "919-542-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 DURHAM BAILEY LN",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129705",
            "telephone_number": "919-542-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBRA",
        "middle_name": "LYNNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "206742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.