SHERRY ANNICE DAVIS NP-C NPI 1184820128

NPI Information

NPI: 1184820128
Provider Name: SHERRY ANNICE DAVIS, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 297-5700
Get Directions

Sherry Annice Davis, NP-C is a family nurse practitioner in Gainesville, GA with 52 years of experience. Sherry Annice Davis, NP-C NPI is 1184820128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 JESSE JEWELL PKWY SE
GAINESVILLE, GA
ZIP 30501-834
Phone: (770) 297-5700
Fax: (770) 718-1877

The NPI 1184820128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 10/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WX0200X	Registered Nurse	Oncology	RN050862	GEORGIA	No
2	363L00000X	Nurse Practitioner		RN050862	GEORGIA	No
3	363LF0000X	Nurse Practitioner	Family	RN050862	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	315377424C	MEDICAID	GEORGIA
2	315377424D	MEDICAID	GEORGIA
3	315377424F	MEDICAID	GEORGIA
4	1202662	OTHER	GEORGIA	WELLCARE
5	315377424D	OTHER	GEORGIA	PEACH STATE
6	315377424E	OTHER	GEORGIA	PEACH STATE
7	315377424E	MEDICAID	GEORGIA
8	315377424F	OTHER	GEORGIA	PEACH STATE
9	315377424C	OTHER	GEORGIA	PEACH STATE
10	03774175	OTHER	GEORGIA	AMERIGROUP
11	050862	OTHER	GEORGIA	GNL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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