Individual provider Active NPI

Leighann Massey Davis, FNP

  • Family Nurse Practitioner
  • Roanoke Rapids, NC
National Provider Identifier
1922572445
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011375 Issued in NC
Practice address
63 Office Park Dr
Roanoke Rapids, NC 27870-4940
Phone
(252) 535-4343
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 5011375 NC Primary

Addresses

Primary practice location

63 Office Park Dr
Roanoke Rapids, NC 27870-4940

Mailing address

63 Office Park Dr
Roanoke Rapids, NC 27870-4940
Phone (919) 883-4236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210201001655 NC Practitioner - Nurse Practitioner 2163762956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

63 Office Park Dr
Roanoke Rapids, NC 27870-4940
Phone (252) 535-4343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011375NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leighann Davis Womens Health & Wellness Center PLLC Family CurrentSince Jun 14, 2024 Accepting new patients
Lawrence D. Singer, M.D. & Associates, PA CurrentSince Feb 4, 2019 Accepting new patients

Locations

63 Office Park Dr
Roanoke Rapids, NC 27870
Phone (252) 308-2314

Organizations & group practices 2

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.

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1922572445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 OFFICE PARK DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704940",
            "telephone_number": "919-883-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 OFFICE PARK DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704940",
            "telephone_number": "252-535-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LEIGHANN",
        "middle_name": "MASSEY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.