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KIM DAVIS NP
NPI 1861150401
Family Medicine in Shaw, MS

Active since December 01, 2021
112 W PEELER AVE, SHAW, MS 38773(662) 754-3301 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Davis Np NPPES

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

KIM DAVIS NP (NPI 1861150401) is an individual family medicine provider in Shaw, Mississippi, licensed in Mississippi (904961) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1861150401
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIM DAVISCredential: NP
Location Address112 W PEELER AVEShaw, MS 38773-8710
Mailing Address112 W Peeler AveShaw, MS 38773-8710 · (662) 754-3301
Phone(662) 754-3301
Sole ProprietorNo
Enumeration DateDecember 1, 2021
NPPES CertifiedSeptember 25, 2021
✔ NPI 1861150401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 904961
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
112 W PEELER AVE, Shaw, MS 38773
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Other Providers at the Same Location NPPES 7

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

TERESA WILSON NP
Nurse Practitioner (Adult Health)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
KIMBERLY ROBINSON FNP-C
Nurse Practitioner (Primary Care)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
MRS. WILLIE MARY BOLDEN
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 745-6638
MRS. REGINA JONELLE EVANS FNP
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
NORA CECELIA GOUGH-DAVIS FNP
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
SHAW FAMILY MEDICAL, LLC
Clinic/Center
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
CLIFTON DEWAYNE REED
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3304

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 Kim Davis's NPI number?

The NPI number for Kim Davis is 1861150401. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Kim Davis located?

Kim Davis practices at 112 W Peeler Ave, Shaw, MS 38773. The listed phone number is (662) 754-3301.

What is Kim Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kim Davis was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.