DR. LISA DAVIS DNP, APRN, FNP-C
NPI 1710608377
Nurse Practitioner - Family in Fairfax, SC
About Dr. Lisa Davis Dnp, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA DAVIS DNP, APRN, FNP-C (NPI 1710608377) is an individual family provider in Fairfax, South Carolina, licensed in South Carolina (26318) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Irmo, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Dr. Lisa Davis Dnp, Aprn, 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
4Medicare enrollment records show Lisa Davis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfax, SC 29827
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1962442244 (South Carolina)
- 49 clinicians in this Medicare group
Simpsonville, SC 29680
- Reassigned Medicare billing, South Carolina enrollment
- 176 clinicians in this Medicare group
Simpsonville, SC 29680
- Reassigned Medicare billing, South Carolina enrollment
- 112 clinicians in this Medicare group
Woonsocket, RI 02895
- Reassigned Medicare billing, South Carolina enrollment
- 114 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29827 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, SC 29827
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 Lisa Davis's NPI number?
The NPI number for Lisa Davis is 1710608377. It was assigned to this individual provider in the NPPES registry on September 12, 2022.
Where is Lisa Davis located?
Lisa Davis practices at 333 Revolutionary Trl, Fairfax, SC 29827. The listed phone number is (803) 632-2533.
What is Lisa Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Davis enrolled in Medicare?
Yes. Lisa Davis 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 Lisa Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Davis reassigns Medicare benefits to 4 organizations: Low Country Health Care System, Inc (Fairfax, SC), Minuteclinic Diagnostic South Carolina LLC (Simpsonville, SC), Minuteclinic Primary Care South Carolina LLC (Simpsonville, SC) and Minuteclinic Video Virtual Care, PLLC (Woonsocket, RI). 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 Lisa Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Davis accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Lisa 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 Lisa Davis was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Lisa Davis, DNP, APRN, FNP-C · NPI 1710608377
Family physician in Fairfax, South Carolina. Individual provider, active in the CMS NPPES registry since September 12, 2022.
## Identity
- **NPI:** 1710608377 (Entity type: Individual)
- **Enumerated:** September 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26318 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 333 REVOLUTIONARY TRL, Fairfax, SC 29827-7109
- **Phone:** (803) 632-2533
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Low Country Health Care System, Inc (NPI 1649366022, Fairfax, SC); Minuteclinic Diagnostic South Carolina LLC (NPI 1447420815, Simpsonville, SC); Minuteclinic Primary Care South Carolina LLC (NPI 1548070071, Simpsonville, SC); Minuteclinic Video Virtual Care, PLLC (NPI 1316402746, Woonsocket, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710608377) · Data from the CMS NPPES public registry.