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MRS. JACQUELINE DAVIS RDN, LDN, IBCLC
NPI 1275333148
Dietitian, Registered in Reidsville, NC

Active since March 18, 2025
371 NC HIGHWAY 65, REIDSVILLE, NC 27320(336) 342-8201 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jacqueline Davis Rdn, Ldn, Ibclc NPPES

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

MRS. JACQUELINE DAVIS RDN, LDN, IBCLC (NPI 1275333148) is an individual dietitian, registered in Reidsville, North Carolina, licensed in North Carolina (96253419) and active in the NPI registry since March 2025. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1275333148
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. JACQUELINE DAVISCredential: RDN, LDN, IBCLC
Location Address371 NC HIGHWAY 65Reidsville, NC 27320-8881
Mailing Address371 Nc Highway 65Reidsville, NC 27320-8881
Phone(336) 342-8201
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1275333148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · 96253419
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-122675 (NC)
371 NC HIGHWAY 65, Reidsville, NC 27320
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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Davis Rdn, Ldn, Ibclc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325521461
PECOS Enrollment IDI20260317001273

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockingham County Finance Office
Same address
Public Health, State or Local
371 NC HIGHWAY 65 STE 204
Reidsville, NC 27320
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1306947445 (336) 342-8141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

MS. ASHLEY NEAL NP
Nurse Practitioner (Primary Care)
371 NC HIGHWAY 65
REIDSVILLE, NC 27320
Rockingham County (336) 342-8221

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 Jacqueline Davis's NPI number?

The NPI number for Jacqueline Davis is 1275333148. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Jacqueline Davis located?

Jacqueline Davis practices at 371 Nc Highway 65, Reidsville, NC 27320. The listed phone number is (336) 342-8201.

What is Jacqueline Davis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jacqueline Davis enrolled in Medicare?

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

Which organization bills Medicare for Jacqueline Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Davis reassigns Medicare benefits to Rockingham County Finance Office (Reidsville, NC). The 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 Jacqueline Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Davis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Jacqueline 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 Jacqueline Davis was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.