1. Home
  2. Directory
  3. Virginia
  4. Salem
  5. Nurse Practitioner
  6. NPI Profile

DEBORAH EDWARDS DAVIS CPNP
NPI 1053715318
Nurse Practitioner - Pediatrics in Salem, VA

Active since October 15, 2014PECOS Enrolled
1802 BRAEBURN DR, SALEM, VA 24153(540) 772-3580(540) 725-5012 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2022, Aug 28, 2019 (2 updates tracked since 2019).

About Deborah Edwards Davis Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH EDWARDS DAVIS CPNP (NPI 1053715318) is an individual pediatrics provider in Salem, Virginia, licensed in Virginia (0024172083) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Covington.

NPPES Registry Identity

NPI1053715318
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDEBORAH EDWARDS DAVISCredential: CPNP
Location Address1802 BRAEBURN DRSalem, VA 24153-7357
Mailing AddressPo Box 457, Wvva Health Care Alliance PcWhite Sulphur Springs, WV 24986-0457 · (304) 536-5030 · Fax (304) 536-5031
Phone(540) 772-3580
Fax(540) 725-5012
Sole ProprietorNo
Enumeration DateOctober 15, 2014
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
✔ NPI 1053715318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in VA · 0024172083
1802 BRAEBURN DR, Salem, VA 24153
Open in Google Maps ↗

Secondary Practice Location 1

Location 12501 Valley Ridge RdCovington, VA 24426-6339 · Phone (540) 862-4146 · Fax (540) 862-0131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deborah Edwards Davis Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Deborah Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lewis Gale Physicians LLC
Same address
Internal Medicine
1802 BRAEBURN DR
Salem, VA 24153
  • Reassigned Medicare billing, Virginia enrollment
  • 188 clinicians in this Medicare group
NPI 1902977705 (540) 772-3671
Privia Medical Group, LLC
194 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW MAIOLO MD
Internal Medicine (Cardiovascular Disease)
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3430
GARY PAUL GROSS M.D.
Dermatology
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3421
MEGAN SMITH N.P.
Nurse Practitioner (Family)
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3580
MISS KIMBERLY CHARISE MARTIN NP-C
Nurse Practitioner
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3400
DR. RICHARD JOHNSON MD
Ophthalmology
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3480
DR. DOMINIQUE DEMPAH M.D.
Surgery
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3620
MRS. OLIVIA JAYNE DARWIN PA-C
Physician Assistant
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 725-5006
BARBARA WEISERBS CRNA
Nurse Anesthetist, Certified Registered
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Davis's NPI number?

The NPI number for Deborah Davis is 1053715318. It was assigned to this individual provider in the NPPES registry on October 15, 2014.

Where is Deborah Davis located?

Deborah Davis practices at 1802 Braeburn Dr, Salem, VA 24153. The listed phone number is (540) 772-3580.

What is Deborah Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Deborah Davis enrolled in Medicare?

Yes. Deborah Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Deborah Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Davis reassigns Medicare benefits to 2 organizations: Lewis Gale Physicians LLC (Salem, VA) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deborah Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deborah Davis was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.