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LOTTIE S DAVENPORT FNP-C
NPI 1629048756
Nurse Practitioner - Family in Jasper, GA

Active since January 23, 2006PECOS Enrolled
51 GORDON RD STE 201, JASPER, GA 30143(706) 692-9768 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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.

NPPES Registry Identity

NPI1629048756
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLOTTIE S DAVENPORTCredential: FNP-C
Location Address51 GORDON RD STE 201Jasper, GA 30143-7104
Mailing Address51 Gordon Rd Ste 201Jasper, GA 30143-7104 · (706) 692-9768
Phone(706) 692-9768
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1629048756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN149848
51 GORDON RD STE 201, Jasper, GA 30143
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lottie S Davenport Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician 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.

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.

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 enrollment system.

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 9 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.