Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER DAVIS MD, MPH, MSCP
NPI 1356046163
Family Medicine in Wytheville, VA

Active since April 03, 2023PECOS Enrolled
590 W RIDGE RD STE J, WYTHEVILLE, VA 24382(276) 228-4174 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Apr 2, 2026, Apr 3, 2023 (3 updates tracked since 2023).

About Jennifer Davis Md, Mph, Mscp NPPES

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

JENNIFER DAVIS MD, MPH, MSCP (NPI 1356046163) is an individual family medicine provider in Wytheville, Virginia, licensed in Virginia (0101288421) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Coryell Memorial Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2023).

NPPES Registry Identity

NPI1356046163
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER DAVISCredential: MD, MPH, MSCP
Location Address590 W RIDGE RD STE JWytheville, VA 24382-1067
Mailing Address590 W Ridge Rd Ste JWytheville, VA 24382-1067 · (276) 228-4174
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
NPI 1356046163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VA · 0101288421 Licensed in TX · V3274
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
590 W RIDGE RD STE J, Wytheville, VA 24382

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Davis Md, Mph, Mscp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901377415
PECOS Enrollment IDI20260605001382
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.

Hospital Affiliations CMS Care Compare

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

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451379
Location1507 W Main StreetGatesville, TX 76528 · Coryell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24382 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
590 W RIDGE RD STE J
WYTHEVILLE, VA 24382
Pediatrics
590 W RIDGE RD STE J
WYTHEVILLE, VA 24382

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 Jennifer Davis's NPI number?

The NPI number for Jennifer Davis is 1356046163. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Jennifer Davis located?

Jennifer Davis practices at 590 W Ridge Rd Ste J, Wytheville, VA 24382. The listed phone number is (276) 228-4174.

What is Jennifer Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Davis enrolled in Medicare?

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

Is Jennifer Davis affiliated with any hospitals?

According to CMS data, Jennifer Davis is affiliated with Coryell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Davis was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.