| Nicole G Davis, NP | |
|
2639 Gilmer Ave, Tallassee, AL 36078-7231 | |
| (334) 283-3975 | |
| Not Available |
| Full Name | Nicole G Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 2639 Gilmer Ave, Tallassee, Alabama |
| 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 |
|---|---|---|---|
| 1760145494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-129447 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Np Associates Llc | 1557686243 | 46 |
| Entity Name | Southern Np Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407257447 PECOS PAC ID: 1557686243 Enrollment ID: O20150223000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole G Davis, NP 2214 Winding Oak Dr, Opelika, AL 36804-0595 Ph: (334) 618-8057 | Nicole G Davis, NP 2639 Gilmer Ave, Tallassee, AL 36078-7231 Ph: (334) 283-3975 |
Mr. Deray Junior Williams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-1060 | |
Brandi Criswell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 | |
Mrs. Adrienne Bolan Goggans, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3656 | |
Elizabeth R Bacchus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2256 Gilmer Ave, Tallassee, AL 36078 Phone: 334-567-8633 | |
Barbara Jean Watts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 Fax: 334-283-4162 | |
Sekeita B Clausell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1608a Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-2291 |