CARLY LOUDERBACK DAVIS FNP-C
NPI 1265910475
Nurse Practitioner - Family in Ringgold, GA

Active since July 31, 2018PECOS Enrolled
210 GILBERT RD, RINGGOLD, GA 30736(423) 715-0867 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Feb 18, 2025, Jul 31, 2018 (3 updates tracked since 2018).

About Carly Louderback Davis Fnp-c NPPES

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

CARLY LOUDERBACK DAVIS FNP-C (NPI 1265910475) is an individual family provider in Ringgold, Georgia, licensed in Georgia (F07180027) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265910475
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY LOUDERBACK DAVISCredential: FNP-C
Location Address210 GILBERT RDRinggold, GA 30736-2724
Mailing Address210 Gilbert RdRinggold, GA 30736-2724 · (423) 715-0867
Sole ProprietorNo
Enumeration DateJuly 31, 2018
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1265910475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · F07180027
Also ListedRegistered NurseTaxonomy 163W00000X · License RN277403 (GA)
210 GILBERT RD, Ringgold, GA 30736

Other Names 1

Former Name (1)Carly Megan Louderback

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carly Louderback Davis Fnp-c 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.

Areas of Expertise CMS Part B claims 2

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30736 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.

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 Carly Davis's NPI number?

The NPI number for Carly Davis is 1265910475. It was assigned to this individual provider in the NPPES registry on July 31, 2018. The provider is also known as Carly Megan Louderback.

Where is Carly Davis located?

Carly Davis practices at 210 Gilbert Rd, Ringgold, GA 30736. The listed phone number is (423) 715-0867.

What is Carly Davis's specialty?

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

Is Carly Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carly Davis was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.