Lottie S Davenport, FNP-C - Medicare Nurse Practitioner in Jasper, GA

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Lottie S Davenport, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jasper, Georgia. Her current practice location is 51 Gordon Rd Ste 201, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 692-9768.

Lottie S Davenport is licensed to practice in Georgia (license number RN149848) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629048756.

Contact Information

Lottie S Davenport, FNP-C
51 Gordon Rd Ste 201,
Jasper, GA 30143-7104
(706) 692-9768
Not Available

Map and Direction




Provider's Profile

Full NameLottie S Davenport
GenderFemale
SpecialityNurse Practitioner - Family
Location51 Gordon Rd Ste 201, Jasper, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629048756
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 10/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4981617909
  • Enrollment ID: I20060717000111

Medical Identifiers

Medical identifiers for Lottie S Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629048756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN149848 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lottie S Davenport allows following entities to bill medicare on her behalf.
Entity NameInternal Medicine Associates Of Jasper, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225109838
PECOS PAC ID: 5092709998
Enrollment ID: O20040413001239
Entity NameHmv Diagnostics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043460744
PECOS PAC ID: 8123172020
Enrollment ID: O20100224000575

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lottie S Davenport is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lottie S Davenport, FNP-C
51 Gordon Rd Ste 201,
Jasper, GA 30143-7104

Ph: (706) 692-9768		Lottie S Davenport, FNP-C
51 Gordon Rd Ste 201,
Jasper, GA 30143-7104

Ph: (706) 692-9768

Reviews and Comments


Nurse Practitioner Nurses in Jasper, GA

Cristy Weems, FNP-C
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Practice Location: 1245 Noah Dr, Jasper, GA 30143
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Mrs. Mattie Elizabeth Hollar, CPNP-PC
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Practice Location: 53 Gordon Rd Ste 101, Jasper, GA 30143
Phone: 706-692-9768    Fax: 706-692-4040
Trang Mai Nguyen, NP
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Kimberly New Parker, FNP, RN
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Practice Location: 51 Gordon Rd, Jasper, GA 30143
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Brooke B Childers, NP
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Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143
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Practice Location: 1101 Old Philadelphia Rd Ste G100, Jasper, GA 30143
Phone: 678-971-4167    Fax: 706-253-7060
Julie Freeman,
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Practice Location: 1245 Noah Dr, Jasper, GA 30143
Phone: 706-253-1954    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.