LOTTIE S DAVENPORT FNP-C
NPI 1629048756
Nurse Practitioner - Family in Jasper, GA
About Lottie S Davenport Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOTTIE S DAVENPORT FNP-C (NPI 1629048756) is an individual family provider in Jasper, Georgia, licensed in Georgia (RN149848) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Mountainside Hospital Inc, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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
Lottie S Davenport Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lottie Davenport reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 19 clinicians in this Medicare group
Holiday, FL 34690
- Reassigned Medicare billing, Georgia enrollment
- 7 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Mountainside Hospital Inc
Acute Care Hospitals · Jasper, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lottie Davenport's NPI number?
The NPI number for Lottie Davenport is 1629048756. It was assigned to this individual provider in the NPPES registry on January 23, 2006.
Where is Lottie Davenport located?
Lottie Davenport practices at 51 Gordon Rd Ste 201, Jasper, GA 30143. The listed phone number is (706) 692-9768.
What is Lottie Davenport's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lottie Davenport enrolled in Medicare?
Yes. Lottie Davenport 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 Lottie Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lottie Davenport reassigns Medicare benefits to 2 organizations: Internal Medicine Associates Of Jasper, PC (Jasper, GA) and Hmv Diagnostics (Holiday, FL). 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 Lottie Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lottie Davenport affiliated with any hospitals?
According to CMS data, Lottie Davenport is affiliated with Piedmont Mountainside Hospital Inc.
When was this NPI record last updated?
The NPPES record for Lottie Davenport was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Lottie S Davenport, FNP-C · NPI 1629048756
Family physician in Jasper, Georgia. Individual provider, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1629048756 (Entity type: Individual)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN149848 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 GORDON RD STE 201, Jasper, GA 30143-7104
- **Phone:** (706) 692-9768
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Internal Medicine Associates Of Jasper, PC (NPI 1225109838, Jasper, GA); Hmv Diagnostics (NPI 1043460744, Holiday, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629048756) · Data from the CMS NPPES public registry.