MARYLOU LACOMB-DAVIS CPNP-PC
NPI 1881946374
Nurse Practitioner - Pediatrics in Augusta, GA

Q: What is Marylou Lacomb-davis's NPI number?

The NPI number for Marylou Lacomb-davis is 1881946374. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Q: What is Marylou Lacomb-davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since October 08, 2012PECOS Enrolled

987 SAINT SEBASTIAN WAY, AUGUSTA, GA 30912(706) 721-9847 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marylou Lacomb-davis Cpnp-pc NPPES

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

MARYLOU LACOMB-DAVIS CPNP-PC (NPI 1881946374) is an individual pediatrics provider in Augusta, Georgia, licensed in Georgia (RN250156) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881946374

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARYLOU LACOMB-DAVISCredential: CPNP-PC

Location Address987 SAINT SEBASTIAN WAYAugusta, GA 30912-2613

Mailing Address987 Saint Sebastian WayAugusta, GA 30912-2613 · (706) 721-9847

Phone(706) 721-9847

Sole ProprietorNo

Enumeration DateOctober 8, 2012

Last NPPES UpdateJanuary 28, 2021

NPPES CertifiedJanuary 28, 2021

✔ NPI 1881946374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in GA · RN250156✔ Licensed in VA · 0024164874✔ Licensed in DC · RN960827✔ Licensed in MD · R207282✔ Licensed in MD · AC001077

987 SAINT SEBASTIAN WAY, Augusta, GA 30912

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marylou Lacomb-davis Cpnp-pc 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 30912 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 11

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

AU HEALTH PROFESSIONS ASSOCIATES, INC.

Prosthetic/Orthotic Supplier

987 SAINT SEBASTIAN WAY, EC 1500
AUGUSTA, GA 30912

Richmond County (706) 721-1225

DR. SHARON M BENNETT DNP, APRN, BC

Registered Nurse (Psychiatric/Mental Health)

987 SAINT SEBASTIAN WAY, EC 1500
AUGUSTA, GA 30912

Richmond County (706) 721-1195

ANNE MARIE MUNSON APRN

Nurse Practitioner (Pediatrics)