ALEXA NICOLE DAVIS - NPI 1104481050 - Family Medicine in Louisville, KY

Q: What is Alexa Davis's NPI number?

The NPI number for Alexa Davis is 1104481050. It was assigned to this individual provider in the NPPES registry on May 7, 2019. The provider is also known as Alexa N Black.

Q: What is Alexa Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexa Davis was last updated on December 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alexa Nicole Davis NPPES

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

ALEXA NICOLE DAVIS (NPI 1104481050) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (59245) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104481050

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALEXA NICOLE DAVIS

Location Address13111 EASTPOINT PARK BLVDLouisville, KY 40223-4164

Mailing Address13111 Eastpoint Park BlvdLouisville, KY 40223-4164 · (502) 216-2164

Phone(502) 216-2164

Sole ProprietorNo

Enumeration DateMay 7, 2019

Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration

NPPES CertifiedDecember 31, 2024

✔ NPI 1104481050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 59245

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13111 EASTPOINT PARK BLVD, Louisville, KY 40223

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Other Names 1

Former Name (1)Alexa N Black

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexa Nicole 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 5

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

ELIZABETH CAROLINE ELLISON-BROWN APRN

Nurse Practitioner