TISHA DAVIS
NPI 1093303588
Nurse Practitioner - Family in Lynn Haven, FL

Q: What is Tisha Davis's NPI number?

The NPI number for Tisha Davis is 1093303588. It was assigned to this individual provider in the NPPES registry on January 9, 2021.

Q: What is Tisha Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tisha Davis was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 09, 2021PECOS Enrolled

77.4/100

CMS Quality Rating

1702 OHIO AVE, LYNN HAVEN, FL 32444(850) 571-5844 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2024, Apr 28, 2021, Jan 9, 2021 (3 updates tracked since 2021).

On this page

About Tisha Davis NPPES

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

TISHA DAVIS (NPI 1093303588) is an individual family provider in Lynn Haven, Florida, licensed in Florida (11006876) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093303588

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTISHA DAVIS

Location Address1702 OHIO AVELynn Haven, FL 32444-4290

Mailing Address1819 W Tennessee StTallahassee, FL 32304-3356 · (850) 576-0147

Phone(850) 571-5844

Sole ProprietorNo

Enumeration DateJanuary 9, 2021

Last NPPES UpdateMay 2, 20243 updates tracked since enumeration

NPPES CertifiedMay 2, 2024

✔ NPI 1093303588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11006876

1702 OHIO AVE, Lynn Haven, FL 32444

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tisha Davis 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

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

North Florida Medical Group, LLC

Same address

Family Medicine

1702 OHIO AVE
Lynn Haven, FL 32444

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1518287036 (850) 571-5844

Fl Neuro Pain And Spine Center, .P.A.

2.7 mi

Health Service

2614 JENKS AVE
Panama City, FL 32405

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Fl Neuro Pain And Spine Center PA
7 clinicians in this Medicare group

NPI 1194034397 (850) 215-3000

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

219 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

48 services40 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

45 services33 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

39 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32444 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.24

Improvement Activities

Cost

59.06

Other Providers at the Same Location NPPES 11

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

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