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JENNIFER LYNN DAVENPORT NP
NPI 1700394319
Nurse Practitioner - Family in Holly Springs, GA

Active since January 17, 2018PECOS Enrolled
684 SIXES RD STE 125, HOLLY SPRINGS, GA 30115(678) 426-5450 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2018, Jan 17, 2018 (2 updates tracked since 2018).

About Jennifer Lynn Davenport Np NPPES

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

JENNIFER LYNN DAVENPORT NP (NPI 1700394319) is an individual family provider in Holly Springs, Georgia, licensed in Georgia (RN222665) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700394319
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LYNN DAVENPORTCredential: NP
Location Address684 SIXES RD STE 125Holly Springs, GA 30115
Mailing Address416 Shoni LnWoodstock, GA 30189-5121
Phone(678) 426-5450
Sole ProprietorNo
Enumeration DateJanuary 17, 2018
Last NPPES UpdateJuly 31, 20182 updates tracked since enumeration
✔ NPI 1700394319 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 · RN222665
684 SIXES RD STE 125, Holly Springs, GA 30115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lynn Davenport Np 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Davenport reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Bortolazzo Group, LLC
20 mi
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
NPI 1801965082 (770) 732-4000
Etowah Emergency Physicians, LLC
39 mi
Emergency Medicine
304 TURNER MCCALL BLVD
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 102 clinicians in this Medicare group
NPI 1962944900 (706) 509-5000
Personal Recovery Network LLC
47 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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 30115 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 Jennifer Davenport's NPI number?

The NPI number for Jennifer Davenport is 1700394319. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Jennifer Davenport located?

Jennifer Davenport practices at 684 Sixes Rd Ste 125, Holly Springs, GA 30115. The listed phone number is (678) 426-5450.

What is Jennifer Davenport's specialty?

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

Is Jennifer Davenport enrolled in Medicare?

Yes. Jennifer Davenport is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Davenport reassigns Medicare benefits to 3 organizations: The Bortolazzo Group, LLC (Austell, GA), Etowah Emergency Physicians, LLC (Rome, GA) and Personal Recovery Network LLC (Stockbridge, GA). 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 Jennifer Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Davenport accept?

Health plans from Oscar Health and Oscar Insurance Company list Jennifer Davenport 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 Jennifer Davenport was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.