1. Home
  2. Directory
  3. Florida
  4. Gainesville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KELLY KIMBLE DAVIS MD
NPI 1184328809
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 28, 2023PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-8234 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2026, Mar 28, 2023 (2 updates tracked since 2023).

About Kelly Kimble Davis Md NPPES

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

KELLY KIMBLE DAVIS MD (NPI 1184328809) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1184328809
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY KIMBLE DAVISCredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address604 E Raintree LnGoldsboro, NC 27534-8225 · (919) 222-3277
Phone(352) 273-8234
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1184328809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD, Gainesville, FL 32610
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Ann Kimble

Secondary Practice Location 1

Location 1417 Macnider Hall, Cb# 7221Chapel Hill, NC 27599-7221 · Phone (919) 966-7495

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Kimble Davis Md 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.

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. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1184328809. It was assigned to this individual provider in the NPPES registry on March 28, 2023. The provider is also known as Kelly Ann Kimble.

Where is Kelly Davis located?

Kelly Davis practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-8234.

What is Kelly Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Davis was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.