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

Q: 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.

Q: What is Deborah Davis's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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)