KYA COREISA DAVIS APRN
NPI 1558112110
Nurse Practitioner - Psychiatric/Mental Health in Cayce, SC

Active since April 01, 2024PECOS EnrolledAccepts Medicare Assignment
440 KNOX ABBOTT DR STE 400, CAYCE, SC 29033(843) 501-1099 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2025, Apr 5, 2024 (2 updates tracked since 2024).

About Kya Coreisa Davis Aprn NPPES

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

KYA COREISA DAVIS APRN (NPI 1558112110) is an individual psychiatric/mental health provider in Cayce, South Carolina, licensed in South Carolina (2024001848) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newberry, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558112110
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKYA COREISA DAVISCredential: APRN
Location Address440 KNOX ABBOTT DR STE 400Cayce, SC 29033-4353
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (843) 501-1099
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 1, 2024
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1558112110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SC · 2024001848
440 KNOX ABBOTT DR STE 400, Cayce, SC 29033

Secondary Practice Location 1

Location 192 J B Fulmer CtNewberry, SC 29108-7856 · Phone (803) 944-9230

Accepted 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

Kya Coreisa Davis Aprn 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 ID3678014545
PECOS Enrollment IDI20240918003547
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 Reassignments

2

Medicare enrollment records show Kya Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
871 LOWCOUNTRY BLVD STE 200
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 285 clinicians in this Medicare group
Clinical
734 YORK ST
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 65 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29033 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 11

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

Counselor (Mental Health)
440 KNOX ABBOTT DR STE 400
CAYCE, SC 29033
Counselor (Professional)
440 KNOX ABBOTT DR STE 400
CAYCE, SC 29033
Counselor (Professional)
440 KNOX ABBOTT DR STE 400
CAYCE, SC 29033
Social Worker (Clinical)
440 KNOX ABBOTT DR STE 400
CAYCE, SC 29033
Counselor (Professional)
440 KNOX ABBOTT DR STE 400
CAYCE, SC 29033
Counselor (Professional)
440 KNOX ABBOTT DR STE 400
CAYCE, SC 29033
Social Worker
440 KNOX ABBOTT DR STE 400
CAYCE, SC 29033
Social Worker (Clinical)
440 KNOX ABBOTT DR STE 400
CAYCE, SC 29033

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 Kya Davis's NPI number?

The NPI number for Kya Davis is 1558112110. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Kya Davis located?

Kya Davis practices at 440 Knox Abbott Dr Ste 400, Cayce, SC 29033. The listed phone number is (843) 501-1099.

What is Kya Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kya Davis enrolled in Medicare?

Yes. Kya 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 organizations bill Medicare for Kya Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kya Davis reassigns Medicare benefits to 2 organizations: Charleston Counseling Center PC (Mount Pleasant, SC) and Supportive Care Of South Carolina LLC (Mt Pleasant, SC). Each 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 Kya Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kya Davis accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Kya 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 Kya Davis was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.