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SHELLIAN SIMONE DAVIS DO
NPI 1265960983
Internal Medicine in Kannapolis, NC

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
201 DALE EARNHARDT BLVD, STE 200, KANNAPOLIS, NC 28081(704) 932-1155 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 13 more (16 updates tracked since 2017).

About Shellian Simone Davis Do NPPES

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

SHELLIAN SIMONE DAVIS DO (NPI 1265960983) is an individual internal medicine provider in Kannapolis, North Carolina, licensed in North Carolina (2020-03120) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2017).

NPPES Registry Identity

NPI1265960983
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHELLIAN SIMONE DAVISCredential: DO
Location Address201 DALE EARNHARDT BLVD, STE 200Kannapolis, NC 28081-0308
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 932-1155
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateJuly 15, 202416 updates tracked since enumeration
✔ NPI 1265960983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2020-03120
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 DALE EARNHARDT BLVD, Kannapolis, NC 28081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shellian Simone Davis Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507283967
PECOS Enrollment IDI20200831001208
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 5

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.

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.
289 services188 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
91 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services32 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28081 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims37 services$5.53 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.20 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims930 services$0.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers24 claims24 services$194.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

BRIGID A. MORRIS MD
Internal Medicine
201 DALE EARNHARDT BLVD, STE 200
KANNAPOLIS, NC 28081
Cabarrus County (704) 932-1155
WAYNE PHILLIP MD
Internal Medicine
201 DALE EARNHARDT BLVD, 201 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28081
Cabarrus County (704) 932-1155
DONNA CHILDRESS MD
Internal Medicine
201 DALE EARNHARDT BLVD, SUITE 200
KANNAPOLIS, NC 28081
Cabarrus County (704) 932-1155
LISA LYNNE WATSON NP
Nurse Practitioner
201 DALE EARNHARDT BLVD, STE 201
KANNAPOLIS, NC 28081
Cabarrus County (704) 403-7430
LINDA D. THOMAS FNP
Nurse Practitioner
201 DALE EARNHARDT BLVD, STE 200
KANNAPOLIS, NC 28081
Cabarrus County (704) 932-1155
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Internal Medicine
201 DALE EARNHARDT BLVD, STE 200
KANNAPOLIS, NC 28081
Cabarrus County (704) 932-1155
KANNAPOLIS INTERNAL MEDICINE
Clinic/Center
201 DALE EARNHARDT BLVD, SUITE 200
KANNAPOLIS, NC 28081
Cabarrus County (704) 403-7300
DARRIUS SHERADE MARABLE RD
Dietitian, Registered
201 DALE EARNHARDT BLVD, STE 201
KANNAPOLIS, NC 28081
Cabarrus County (704) 403-7430

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 Shellian Davis's NPI number?

The NPI number for Shellian Davis is 1265960983. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Shellian Davis located?

Shellian Davis practices at 201 Dale Earnhardt Blvd Ste 200, Kannapolis, NC 28081. The listed phone number is (704) 932-1155.

What is Shellian Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shellian Davis enrolled in Medicare?

Yes. Shellian Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shellian Davis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Shellian 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.

Is Shellian Davis affiliated with any hospitals?

According to CMS data, Shellian Davis is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Shellian Davis was last updated on July 15, 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.