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KIMBERLY F DAVIS NP-C
NPI 1699226399
Nurse Practitioner in Madison, MS

Active since October 18, 2016PECOS Enrolled
120 FOUNTAINS BLVD, MADISON, MS 39110(769) 300-0700(601) 990-2180 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Oct 18, 2016 (2 updates tracked since 2016).

About Kimberly F Davis Np-c NPPES

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

KIMBERLY F DAVIS NP-C (NPI 1699226399) is an individual nurse practitioner in Madison, Mississippi, licensed in Mississippi (901603) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699226399
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY F DAVISCredential: NP-C
Location Address120 FOUNTAINS BLVDMadison, MS 39110-6343
Mailing Address300 Sherborne PlFlowood, MS 39232-8959 · (601) 421-9537
Phone(769) 300-0700
Fax(601) 990-2180
Sole ProprietorNo
Enumeration DateOctober 18, 2016
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1699226399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 901603
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
120 FOUNTAINS BLVD, Madison, MS 39110
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Other Names 1

Other Name (5)Kim Davis Np-c

Other Identifiers 3

Other901603MS · Aprn
OtherF06161208Np Cert
OtherR867828MS · Rn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly F Davis Np-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 39110 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 4

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

MICAH R. WALKER M.D.
Family Medicine
120 FOUNTAINS BLVD
MADISON, MS 39110
Madison County (769) 300-0700
MORGAN C PITTS BSN, RN
Nurse Practitioner (Family)
120 FOUNTAINS BLVD
MADISON, MS 39110
Madison County (601) 488-0662
NUVENA VEIN CLINIC
Phlebology
120 FOUNTAINS BLVD
MADISON, MS 39110
Madison County (601) 667-4405
MR. JOSEPH BRYDEN HERRING PA-C
Physician Assistant
120 FOUNTAINS BLVD
MADISON, MS 39110
Madison County (769) 300-0700

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 Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1699226399. It was assigned to this individual provider in the NPPES registry on October 18, 2016. The provider is also known as Kim Davis Np-C.

Where is Kimberly Davis located?

Kimberly Davis practices at 120 Fountains Blvd, Madison, MS 39110. The listed phone number is (769) 300-0700.

What is Kimberly Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Davis was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.