Michelle Ann Davis, RN,CMSRN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

81888 Issued in SC

Practice address

200 McDaniel Ave
Pickens, SC 29671-2527

Phone

(864) 898-5965

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• State of South Carolina

  dba SC Department of Public Health

  • Public Health or Welfare Agency
  • Pickens, SC
  • NPI 1043396161
  NPD

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1760063382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MOUNT AIRY CHURCH RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428746",
            "telephone_number": "843-906-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MCDANIEL AVE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712527",
            "telephone_number": "864-898-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "RN,CMSRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "81888",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SC",
            "license": "81888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Shane Collier, RPH.
• Kelsey Crawford
• Michael Wade Crouch, NCPRSS
• Molly Dalva, M. ED. , EDS, NCC
• Catherine Daniel, DMD
• Deeper Roots Physical Therapy, LLC
• Charlotte J Derrer, RN
• Michael L Dillard, M.D.
• Michael E Donald, M.D.
• Jonathan Donnald, LPC

• Registered Nurse in Pickens, SC
• Providers in Pickens, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.