Individual provider Active NPI

Paula Lynn Davis, MSN, APRN-BC

  • Family Nurse Practitioner
  • Trenton, FL
National Provider Identifier
1780791335
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1647892 Issued in FL
Practice address
103 SE 3Rd St
Trenton, FL 32693-3247
Phone
(352) 577-5252
NPI assigned
Aug 23, 2006
Last updated
Jul 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 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 APRN1647892 FL Primary

Addresses

Primary practice location

103 SE 3Rd St
Trenton, FL 32693-3247

Mailing address

1924 SW 146TH St
Newberry, FL 32669-4604
Phone (352) 339-0470

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 1647892OtherFLARNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070131000206 FL Practitioner - Nurse Practitioner 4183625353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrews Healthcare ConsultingGroup PAC ID 5092132761, 18 clinicians

Practice addresses (Care Compare)

103 SE 3Rd St
Trenton, FL 32693-3247

7284 SW Sr
26 Tri County Internal Medicine and Family PR
Trenton, FL 32693-5882
Phone (352) 577-5252

7284 SW Sr
Suite 26
Trenton, FL 32693-5131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN1647892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Healthcare Consulting Family CurrentSince May 20, 2024 Accepting new patients
Tri-County Primary Care Inc Family Medicine CurrentSince Dec 27, 2015 Accepting new patients
GNT Associates, LLC CurrentSince Apr 3, 2022 Accepting new patients

Locations

306 NE Highway 351
Cross City, FL 32628
Phone (352) 498-3372

103 SE 3rd St
Trenton, FL 32693
Phone (352) 577-5252

7284 SW State Road 26
Trenton, FL 32693
Phone (352) 463-1222

Organizations & group practices 3

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1780791335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 SW 146TH ST",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326694604",
            "telephone_number": "352-339-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SE 3RD ST",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326933247",
            "telephone_number": "352-577-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAULA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1647892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "ARNP 1647892",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, FL

Sources for this page

Verify at the official NPI Registry.