KOURTNEY DAVIS
NPI 1245174358
Nurse Practitioner - Family in Concord, NC
About Kourtney Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOURTNEY DAVIS (NPI 1245174358) is an individual family provider in Concord, North Carolina, licensed in North Carolina (5024460) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kourtney Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kourtney Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 312 clinicians in this Medicare group
Charlotte, NC 28281
- Reassigned Medicare billing, North Carolina enrollment
- 264 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, North Carolina enrollment
- 728 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kourtney Davis's NPI number?
The NPI number for Kourtney Davis is 1245174358. It was assigned to this individual provider in the NPPES registry on April 17, 2026.
Where is Kourtney Davis located?
Kourtney Davis practices at 920 Church St N, Concord, NC 28025. The listed phone number is (704) 403-3000.
What is Kourtney Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kourtney Davis enrolled in Medicare?
Yes. Kourtney Davis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kourtney Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Davis reassigns Medicare benefits to 3 organizations: Eventus Wholehealth, PLLC (Concord, NC), Eventus Wh Southeast, LLC (Charlotte, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kourtney Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kourtney Davis accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and Cigna Healthcare list Kourtney Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kourtney Davis was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kourtney Davis · NPI 1245174358
Family physician in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since April 17, 2026.
## Identity
- **NPI:** 1245174358 (Entity type: Individual)
- **Enumerated:** April 17, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5024460 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 CHURCH ST N, Concord, NC 28025-2927
- **Phone:** (704) 403-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Eventus Wholehealth, PLLC (NPI 1548759392, Concord, NC); Eventus Wh Southeast, LLC (NPI 1487494811, Charlotte, NC); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 13, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1245174358) · Data from the CMS NPPES public registry.