Individual provider Active NPI

Deborah M Davis, CNP

  • Nurse Practitioner
  • Winona, MS
National Provider Identifier
1831105451
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R818696 Issued in MS
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0121694MedicaidMS

Other names 1

  • Deborah M Ware Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000527 MS Practitioner - Nurse Practitioner 2365436375 Reassigns benefits to 4 organizations

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
Choctaw Regional Medical CenterGroup PAC ID 2567682206, 39 clinicians
Flowood Pain Center, LLCGroup PAC ID 6901154293, 25 clinicians

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 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
81.39 of 100Reported as group
Quality
65.98
Improvement activities
40
Cost
74.48

Merit-based Incentive Payment System (MIPS)

Final score
82.91 of 100Reported as group
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

LicenseStateTypeSpecialty
R818696MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Regional Medical Center Current Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
Choctaw Regional Medical Center CurrentSince Aug 1, 2014 Accepting new patients
Delta Wound Care Services Inc. CurrentSince Jul 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Delta Medical Group Nurse Practitioner PastSince Aug 28, 2021 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.