Kelly Mason Davis

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

22229 Issued in FL

Practice address

1336 Saint Andrews Blvd
Panama City, FL 32405-2762

Phone

(850) 763-3911

NPI assigned

Oct 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1841775087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 VERMONT AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443566",
            "telephone_number": "850-814-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 SAINT ANDREWS BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052762",
            "telephone_number": "850-763-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELLY",
        "middle_name": "MASON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "22229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Davis, RPH
• Jenn Nicole Davis, M.S., BCBA
• Jennifer Sue Davis, MSN, APRN, PMHNP-BC
• Julia A Davis, B.A.
• Kaitlyn Girard Davis, PA-C
• Kenny Davis
• Kriserica Dawn Davis, PTA
• Marie B Davis, BSW
• Teresa Ann Davis, R.N.
• Christie Wheless Dawson, NNP

• Physical Medicine & Rehabilitation Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.