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STEPHANIE ANN DAVIS LPC
NPI 1962945048
Counselor - Mental Health in Valdosta, GA

Active since November 22, 2016PECOS Enrolled
3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602(229) 671-6170 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Ann Davis Lpc NPPES

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

STEPHANIE ANN DAVIS LPC (NPI 1962945048) is an individual mental health provider in Valdosta, Georgia, licensed in Georgia (LPC009298) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962945048
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE ANN DAVISCredential: LPC
Location Address3120 N OAK STREET EXT STE BValdosta, GA 31602-5910
Mailing Address3120 N Oak Street Ext Ste CValdosta, GA 31602-5910 · (229) 671-3500
Phone(229) 671-6170
Sole ProprietorNo
Enumeration DateNovember 22, 2016
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1962945048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC009298
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC009298 (GA)
3120 N OAK STREET EXT STE B, Valdosta, GA 31602
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Ann Davis Lpc 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

2

Medicare enrollment records show Stephanie Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Behavioral Health Services Of South Georgia
Same address
Mental Health (Including Community Mental Health Center)
3120 N OAK STREET EXT STE C
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1801932371 (229) 671-6100
Mental Health Specialty Group PA
434 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

KRISTIN GAYLE GOIN LPC
Counselor (Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
MR. ROBERT MARLOW JR. LCSW
Social Worker (Clinical)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
MRS. TERESA MARIE MORRISON LCSW
Social Worker (Clinical)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
VELMESHA DENISE HOWARD
Social Worker
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6162
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Clinic/Center (Adolescent and Children Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6164
KIMBERLY MARIA BOYETT LMSW
Social Worker
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
KASSI LAITEN COPELAND PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
ANDREW JEROME COURSON LPC
Counselor (Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170

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 Stephanie Davis's NPI number?

The NPI number for Stephanie Davis is 1962945048. It was assigned to this individual provider in the NPPES registry on November 22, 2016.

Where is Stephanie Davis located?

Stephanie Davis practices at 3120 N Oak Street Ext Ste B, Valdosta, GA 31602. The listed phone number is (229) 671-6170.

What is Stephanie Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephanie Davis enrolled in Medicare?

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

Which organizations bill Medicare for Stephanie Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Davis reassigns Medicare benefits to 2 organizations: Behavioral Health Services Of South Georgia (Valdosta, GA) and Mental Health Specialty Group PA (Durham, NC). 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 Stephanie 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 Stephanie Davis was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.