MRS. KIMBERLY MICHEL DAVIS AGACNP
NPI 1063052470
Nurse Practitioner - Gerontology in Braselton, GA

Active since January 14, 2020PECOS EnrolledAccepts Medicare Assignment
1400 RIVER PL, BRASELTON, GA 30517(770) 848-8000 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Aug 20, 2024, Jan 15, 2020 (3 updates tracked since 2020).

About Mrs. Kimberly Michel Davis Agacnp NPPES

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

MRS. KIMBERLY MICHEL DAVIS AGACNP (NPI 1063052470) is an individual gerontology provider in Braselton, Georgia, licensed in Georgia (RN256254) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Sugar Hill.

NPPES Registry Identity

NPI1063052470
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. KIMBERLY MICHEL DAVISCredential: AGACNP
Location Address1400 RIVER PLBraselton, GA 30517-5600
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 14, 2020
Last NPPES UpdateJanuary 21, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
NPI 1063052470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in GA · RN256254
Also ListedNurse Practitioner · SchoolTaxonomy 363LS0200X · License RN256254 (GA)
1400 RIVER PL, Braselton, GA 30517

Secondary Practice Location 1

Location 1500 Wagon Hill LnSugar Hill, GA 30518-8034 · Phone (470) 214-9756 · Fax (470) 201-1303

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Michel Davis Agacnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486181161
PECOS Enrollment IDI20241218004270
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30517 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Pharmacist
1400 RIVER PL
BRASELTON, GA 30517
Surgery (Vascular Surgery)
1400 RIVER PL
BRASELTON, GA 30517
Physician Assistant (Medical)
1400 RIVER PL
BRASELTON, GA 30517
Pediatrics
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517
Physician Assistant (Medical)
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517

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 Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1063052470. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Kimberly Davis located?

Kimberly Davis practices at 1400 River Pl, Braselton, GA 30517. The listed phone number is (770) 848-8000.

What is Kimberly Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kimberly Davis enrolled in Medicare?

Yes. Kimberly Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kimberly Davis affiliated with any hospitals?

According to CMS data, Kimberly Davis is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Kimberly Davis was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.