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JACQUELINE SMITH DAVIS NP
NPI 1891840120
Nurse Practitioner in Winston Salem, NC

Active since January 25, 2007PECOS Enrolled
2001 TODAYS WOMAN AVE, WINSTON SALEM, NC 27105(336) 722-1818(336) 722-1826 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2024, Apr 18, 2022, Jun 15, 2021 and 3 more (6 updates tracked since 2018).

About Jacqueline Smith Davis Np NPPES

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

JACQUELINE SMITH DAVIS NP (NPI 1891840120) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5001629) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1891840120
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELINE SMITH DAVISCredential: NP
Location Address2001 TODAYS WOMAN AVEWinston Salem, NC 27105-5069
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 722-1818
Fax(336) 722-1826
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateMay 8, 20246 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1891840120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5001629
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.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 104882 (NC)
2001 TODAYS WOMAN AVE, Winston Salem, NC 27105
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Secondary Practice Location 1

Location 1600 Moye BlvdGreenville, NC 27834 · Phone (252) 744-4676 · Fax (252) 744-8199

Other Identifiers 5

Other196292NC · Medcost
OtherNN2912NC · Medicare
Other9185097NC · Aetna
Other181GTNC · Bcbs Of Nc
Medicaid7003982NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Smith Davis 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 Reassignment

Medicare enrollment records show Jacqueline Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Medical Group, Inc.
Same address
Obstetrics & Gynecology
2001 TODAYS WOMAN AVE
Winston Salem, NC 27105
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1740053933 (336) 722-1818

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 27105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 14

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

FOUNDATION HEALTH SYSTEMS CORP.
Obstetrics & Gynecology (Gynecology)
2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105
Forsyth County (336) 722-1818
MRS. MACKENZIE DAY WATKINS NP
Nurse Practitioner
2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105
Forsyth County (336) 722-1818
MEREDITH S. SMITH PA
Physician Assistant
2001 TODAYS WOMAN AVE, DBA TODAY'S WOMAN
WINSTON SALEM, NC 27105
Forsyth County (336) 722-1818
CLAIRE MARIE DAVIS NP
Nurse Practitioner
2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105
Forsyth County (336) 722-1818
MS. CHRISTAN SHADEENE BLACK AGNP-BC
Nurse Practitioner
2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105
Forsyth County (336) 722-1818
DR. RAMAKRISHNAN RAGURAMAN M.D.
Pediatrics
2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105
Forsyth County (336) 722-1818
NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics
2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105
Forsyth County (336) 722-1818
MADISON WHITLOCK BOSWELL CPNP-PC
Nurse Practitioner
2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105
Forsyth County (336) 722-1818

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 Jacqueline Davis's NPI number?

The NPI number for Jacqueline Davis is 1891840120. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Jacqueline Davis located?

Jacqueline Davis practices at 2001 Todays Woman Ave, Winston Salem, NC 27105. The listed phone number is (336) 722-1818.

What is Jacqueline Davis's specialty?

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

Is Jacqueline Davis enrolled in Medicare?

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

Which organization bills Medicare for Jacqueline Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Davis reassigns Medicare benefits to Novant Medical Group, Inc. (Winston Salem, NC). The 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 Jacqueline Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Davis was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.