Active NPI
Deborah M Davis, CNP
- Nurse Practitioner
- Winona, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R818696
- Practice address
- 700 Woodland Drive
Winona, MS 38967 - Phone
- (662) 283-3060
- Fax
- (662) 283-3553
- NPI assigned
- Aug 1, 2006
- Last updated
- Mar 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R818696 | MS | Primary |
Addresses
Primary practice location
700 Woodland Drive
Winona, MS 38967
Mailing address
8613 Ms Highway 12
Ackerman, MS 39735-8917
Phone (662) 285-9460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121694 | Medicaid | MS |
Other names 1
- Deborah M Ware
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14724 Hwy 15 N
Louisville, MS 39339-6318
Phone (662) 285-9460
220 Hwy 12 W
Flowood Kosciusko
Kosciusko, MS 39090-3208
Phone (601) 420-2040
8613 Ms Hwy 12
Ackerman, MS 39735-8917
Phone (662) 285-9460
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.39 of 100
- Quality
- 65.98
- Improvement activities
- 40
- Cost
- 74.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.91 of 100
- Quality
- 73.71
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 64.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R818696 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Regional Medical Center | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Choctaw Regional Medical Center | Current | Accepting new patients | |
| Delta Wound Care Services Inc. | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| Delta Medical Group | Nurse Practitioner | Past | Accepting new patients |
Locations
64 N Louisville St
Ackerman, MS 39735
Phone (662) 285-9050
8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400
115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101
701 W Sunflower Rd
Cleveland, MS 38732
Phone (423) 290-8765
14724 Highway 15 N
Louisville, MS 39339
Phone (662) 773-7500
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
Organizations & group practices 8
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.
-
dba Choctaw Medical Clinic of Ackerman
- Family Medicine Physician
- Ackerman, MS
- NPI 1235547878
-
- Pain Medicine (Anesthesiology) Physician
- Flowood, MS
- NPI 1356848014
-
- Critical Access Hospital
- Ackerman, MS
- NPI 1568879864
-
dba Louisville Medical Clinic
- Rural Health Clinic/Center
- Louisville, MS
- NPI 1538555347
-
- Clinic/Center
- Cleveland, MS
- NPI 1588471205
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mississippi HomeCare of Eupora
- Home Health Agency
- Eupora, MS
- NPI 1659483196
-
dba Baptist Medical Center - Attala
- Critical Access Hospital
- Kosciusko, MS
- NPI 1730566027
-
- Critical Access Hospital
- Ackerman, MS
- NPI 1568879864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1831105451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8613 MS HIGHWAY 12",
"city": "ACKERMAN",
"state": "MS",
"postal_code": "397358917",
"telephone_number": "662-285-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WOODLAND DRIVE",
"city": "WINONA",
"state": "MS",
"postal_code": "38967",
"telephone_number": "662-283-3060",
"fax_number": "662-283-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEBORAH",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R818696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121694",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "WARE",
"middle_name": "M",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winona, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.