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TARA PATRICIA DAVIS RN, MSN, FNP-BC
NPI 1649460080
Nurse Practitioner - Family in Lexington, SC

Active since August 01, 2007PECOS Enrolled
115 KING LEES CT, LEXINGTON, SC 29072(803) 239-4660(803) 233-4656 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2024, Feb 20, 2020, Mar 13, 2018 and 2 more (5 updates tracked since 2016).

About Tara Patricia Davis Rn, Msn, Fnp-bc NPPES

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

TARA PATRICIA DAVIS RN, MSN, FNP-BC (NPI 1649460080) is an individual family provider in Lexington, South Carolina, licensed in South Carolina (27964) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649460080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA PATRICIA DAVISCredential: RN, MSN, FNP-BC
Location Address115 KING LEES CTLexington, SC 29072-7089
Mailing Address955 East Main Street Suite E #6 Lexington, Sc 29072Lexington, SC 29072-3440 · (803) 239-4660 · Fax (803) 233-4656
Phone(803) 239-4660
Fax(803) 233-4656
Sole ProprietorYes
Enumeration DateAugust 1, 2007
Last NPPES UpdateAugust 19, 20245 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1649460080 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
Licenses✔ Licensed in SC · 27964✔ Licensed in VA · 0024168713✔ Licensed in GA · RN274303
115 KING LEES CT, Lexington, SC 29072
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Other Identifiers 1

Medicaid024905300DC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Patricia Davis Rn, Msn, Fnp-bc 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 29072 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.

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 Tara Davis's NPI number?

The NPI number for Tara Davis is 1649460080. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Tara Davis located?

Tara Davis practices at 115 King Lees Ct, Lexington, SC 29072. The listed phone number is (803) 239-4660.

What is Tara Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Davis enrolled in Medicare?

Yes. Tara Davis is registered in the Medicare PECOS enrollment system.

What insurance does Tara Davis accept?

Health plans from CareSource list Tara 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 Tara Davis was last updated on August 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.