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MRS. SHELLY DENICE DAVIS FNP-BC
NPI 1386805885
Nurse Practitioner in Tifton, GA

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
612 LOVE AVENUE, TIFTON, GA 31794(229) 391-3300(229) 388-1948 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shelly Denice Davis Fnp-bc NPPES

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

MRS. SHELLY DENICE DAVIS FNP-BC (NPI 1386805885) is an individual nurse practitioner in Tifton, Georgia, licensed in Georgia (RN089222) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1386805885
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SHELLY DENICE DAVISCredential: FNP-BC
Location Address612 LOVE AVENUETifton, GA 31794
Mailing Address612 Love AvenueTifton, GA 31794 · (229) 391-3300 · Fax (229) 388-1948
Phone(229) 391-3300
Fax(229) 388-1948
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 18, 2008
Last NPPES UpdateJune 13, 2016
✔ NPI 1386805885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN089222
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
612 LOVE AVENUE, Tifton, GA 31794
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Other Identifiers 4

Medicare PIN5111500737GA
Medicare UPINQ46799GA
Medicaid481466728AGA
Medicare PIN50BBJLCGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Mrs. Shelly Denice Davis Fnp-bc 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 ID8820024367
PECOS Enrollment IDI20050715000138
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 11

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 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.
162 services105 patients
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.
130 services94 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
76 services15 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
56 services26 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.
53 services53 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
30 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA
OwnershipProprietary
CMS Certification Number110101
Location260 Mj Taylor RoadAdel, GA 31620 · Cook County
Emergency services

Colquitt Regional Medical Center

Acute Care Hospitals · Moultrie, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110105
Location3131 South Main StreetMoultrie, GA 31768 · Colquitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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.

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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
26%656 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
45%289 patients3/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers15 claims29 services$6.59 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier13 claims13 services$56.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shelly Davis's NPI number?

The NPI number for Shelly Davis is 1386805885. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Shelly Davis located?

Shelly Davis practices at 612 Love Avenue, Tifton, GA 31794. The listed phone number is (229) 391-3300.

What is Shelly Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shelly Davis enrolled in Medicare?

Yes. Shelly 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 Shelly Davis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shelly 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 Shelly Davis affiliated with any hospitals?

According to CMS data, Shelly Davis is affiliated with Tift Regional Medical Center, Cook Medical Center A Campus Of Tift Reg Med Ctr and Colquitt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shelly Davis was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.