Charles Seth Davis, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1-091410 Issued in AL

Practice address

19250 N Mobile St
Citronelle, AL 36522-2122

Phone

(251) 866-7454

Fax

(251) 866-9121

NPI assigned

Apr 8, 2014

Last updated

May 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.davis.1@15479.direct.athenahealth.com

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.

• Children's Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438
  Medicare reassignment NPD
• Altapointe Health Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1518095413
  Medicare reassignment NPD (past)
• Altapointe Health Systems, Inc.

  dba Accordia Health- South Baldwin

  • Federally Qualified Health Center (FQHC)
  • Foley, AL
  • NPI 1003707332
  NPD
• Altapointe Health Systems, Inc.

  dba Accordia Health- Citronelle

  • Federally Qualified Health Center (FQHC)
  • Citronelle, AL
  • NPI 1275417479
  NPD
• Mobile County Board of Health

  dba Family Oriented Primary Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1063439065
  NPD
• Mobile County Board of Health

  dba Semmes Clinic

  • Federally Qualified Health Center (FQHC)
  • Semmes, AL
  • NPI 1083629661
  NPD
• Mobile County Board of Health

  • State or Local Public Health Clinic/Center
  • Mobile, AL
  • NPI 1720257199
  NPD
• Urgent Care for Children, PLLC

  • Pediatrics Physician
  • Hixson, TN
  • NPI 1205434420
  NPD
• Mobile County Board of Health

  dba Citronelle Dental Clinic

  • State or Local Public Health Clinic/Center
  • Citronelle, AL
  • NPI 1578919890
  NPD (past)
• Mobile County Board of Health

  dba Mobile Medical Van

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1659584555
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1699194522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N BAYOU ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035827",
            "telephone_number": "251-690-8158",
            "fax_number": "251-544-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 N MOBILE ST",
            "city": "CITRONELLE",
            "state": "AL",
            "postal_code": "365222122",
            "telephone_number": "251-866-7454",
            "fax_number": "251-866-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARLES",
        "middle_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-091410",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-091410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630000013",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP PAYEE NUMBER",
            "identifier": "1063439065",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PAYEE NUMBER",
            "identifier": "011846",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Brooke Brown
• Frank Stuart Campbell, P.T.
• Citronelle Drug Co Inc
• Hannah L Corley, PHARMD
• Crowne Health Care of Citronelle, LLC
• Delta Health Group Inc (Citronelle Convalescent Center)
• Cheri G Ellison, R. D. H.
• Encore Rehabilitation, Inc. (Encore Rehab of Citronelle)
• Freds Stores of Tennessee Inc (Freds Pharmacy 1259)
• Michael Clay Garver, DMD

• Primary Care Nurse Practitioner in Citronelle, AL
• Providers in Citronelle, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.