KELLY DAVIS
NPI 1417343203
Family Medicine in Little Rock, AR

Q: What is Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1417343203. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is Kelly Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Davis was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment

9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205(501) 202-2093(501) 202-6316 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2025, Aug 13, 2020 (2 updates tracked since 2020).

On this page

About Kelly Davis NPPES

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

KELLY DAVIS (NPI 1417343203) is an individual family medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-13293) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417343203

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKELLY DAVIS

Location Address9601 BAPTIST HEALTH DRLittle Rock, AR 72205-6321

Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 202-2093 · Fax (501) 202-6316

Phone(501) 202-2093

Fax(501) 202-6316

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 8, 2015

Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1417343203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · E-13293

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.

9601 BAPTIST HEALTH DR, Little Rock, AR 72205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Davis 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 ID840506259

PECOS Enrollment IDI20200818003487

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.

Medicare Billing Reassignment

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

Arkansas Health Group

Same address

Physical Medicine & Rehabilitation

9601 BAPTIST HEALTH DR STE 1-B
Little Rock, AR 72205

Reassigned Medicare billing, Arkansas enrollment
13 clinicians in this Medicare group

NPI 1316215338 (501) 202-2093

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

221 services75 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

194 services74 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

168 services156 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

131 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 20

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

BENJAMIN MIZELL CRNA

Nurse Anesthetist, Certified Registered

9601 BAPTIST HEALTH DR
LITTLE ROCK, AR 72205

Pulaski County (501) 202-2093

WHITNEY GOODWIN MD

Radiology (Vascular & Interventional Radiology)

9601 BAPTIST HEALTH DR, SUITE 1100
LITTLE ROCK, AR 72205

Pulaski County (501) 748-3214

DR. ROBERT L STUCKEY JR. M.D.

Radiology (Diagnostic Radiology)

9601 BAPTIST HEALTH DR, SUITE 1100
LITTLE ROCK, AR 72205

Pulaski County (501) 748-3214

OPAL FLOWERS

Nurse Practitioner (Acute Care)

9601 BAPTIST HEALTH DR
LITTLE ROCK, AR 72205

Pulaski County (501) 202-1500

ANTHONY L BRIDGES CRNA

Nurse Anesthetist, Certified Registered

9601 BAPTIST HEALTH DR
LITTLE ROCK, AR 72205

Pulaski County (501) 202-2093

COURTNEY LYNN STEELE CRNA

Nurse Anesthetist, Certified Registered

9601 BAPTIST HEALTH DR
LITTLE ROCK, AR 72205

Pulaski County (501) 202-2000

LAURETTA P HELMICH APRN

Nurse Practitioner (Adult Health)

9601 BAPTIST HEALTH DR
LITTLE ROCK, AR 72205

Pulaski County (501) 202-2000

BRYAN WARE

Radiology Practitioner Assistant

9601 BAPTIST HEALTH DR
LITTLE ROCK, AR 72205

Pulaski County (501) 227-5240

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 Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1417343203. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Kelly Davis located?

Kelly Davis practices at 9601 Baptist Health Dr, Little Rock, AR 72205. The listed phone number is (501) 202-2093.

What is Kelly Davis's specialty?

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

Is Kelly Davis enrolled in Medicare?

Yes. Kelly 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.

Which organization bills Medicare for Kelly Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Davis reassigns Medicare benefits to Arkansas Health Group (Little Rock, AR). 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 Kelly Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Davis accept?

Health plans from Health Advantage and Octave list Kelly 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 Kelly Davis was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.