Individual provider Active NPI

Vanessa Nichole Davis, FNP

  • Family Nurse Practitioner
  • N Charleston, SC
National Provider Identifier
1780194191
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21372 Issued in SC
Practice address
2801 Ashley Phosphate Rd
N Charleston, SC 29418-4402
Phone
(843) 302-8840
Fax
(843) 818-2188
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 21372 SC Primary

Addresses

Primary practice location

2801 Ashley Phosphate Rd
N Charleston, SC 29418-4402

Mailing address

2801 Ashley Phosphate Rd
North Charleston, SC 29418-4402
Phone (854) 768-0800

Other identifiers 1

IdentifierTypeStateIssuer
NP5159MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180228000485 SC Practitioner - Nurse Practitioner 9234490640 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Mar 14, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Mar 14, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Elite Pain Management, LLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

222 E Primrose St
Ste E
Springfield, MO 65807
Phone (417) 553-1080

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

4237 River Hills Dr
Ste 170
Little River, SC 29566
Phone (843) 273-0376

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

Interoperability endpoints

  • Direct secure messaging: vanessa.davis@1033385731948548.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1780194191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ASHLEY PHOSPHATE RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294184402",
            "telephone_number": "854-768-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ASHLEY PHOSPHATE RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294184402",
            "telephone_number": "843-302-8840",
            "fax_number": "843-818-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VANESSA",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5159",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.