| Dr Lisa Davis, DNP, APRN, FNP-C | |
|
333 Revolutionary Trl, Fairfax, SC 29827-7109 | |
| (803) 632-2533 | |
| Not Available |
| Full Name | Dr Lisa Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 333 Revolutionary Trl, Fairfax, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710608377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26318 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic South Carolina Llc | 8527126861 | 113 |
| Low Country Health Care System Inc | 4284530940 | 33 |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053475566 PECOS PAC ID: 4284530940 Enrollment ID: O20031211000944 |
| Entity Name | Minuteclinic Diagnostic South Carolina LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409 |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578659942 PECOS PAC ID: 4284530940 Enrollment ID: O20160524000583 |
| Entity Name | Minuteclinic Video Virtual Care, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200507003000 |
| Entity Name | Minuteclinic Primary Care South Carolina LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548070071 PECOS PAC ID: 2466956826 Enrollment ID: O20250918001616 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Davis, DNP, APRN, FNP-C 1008 Lake Murray Blvd, Irmo, SC 29063-2821 Ph: Not Available | Dr Lisa Davis, DNP, APRN, FNP-C 333 Revolutionary Trl, Fairfax, SC 29827-7109 Ph: (803) 632-2533 |
Mrs. Erica Leigh O'quinn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451 |
Mrs. Delois Daniels, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-3285 |
Mrs. Vicki Lynn Landis, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-3285 |
Lucille Miley Sanders, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451 |
Rebecca Lynn Wilkes, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451 |
Mr. James Robert Mynatt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451 |
Troy Wayne Spires, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 |