| Sara Leanne Davis, NP | |
|
230 Possum Ridge Rd, Hollandale, MS 38748-3755 | |
| (662) 822-6238 | |
| Not Available |
| Full Name | Sara Leanne Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 230 Possum Ridge Rd, Hollandale, Mississippi |
| 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 |
|---|---|---|---|
| 1306450358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 904124 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delta Regional Medical Center | Greenville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta Medical Group | 6608775531 | 42 |
| Entity Name | Delta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Leanne Davis, NP Po Box 122, Avon, MS 38723-0122 Ph: () - | Sara Leanne Davis, NP 230 Possum Ridge Rd, Hollandale, MS 38748-3755 Ph: (662) 822-6238 |
Holly Mahalitc, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1257 Highway 61 S, Hollandale, MS 38748 Phone: 662-827-2214 | |
Felecia Preston-williams, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Washington St, Hollandale, MS 38748 Phone: 662-807-5007 Fax: 662-807-5019 | |
Nisha Bhakta, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1257 Highway 61 S, Hollandale, MS 38748 Phone: 662-827-2214 Fax: 662-827-2215 | |
Anne Barry Robertson, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 E Washington St, Hollandale, MS 38748 Phone: 662-827-7400 Fax: 662-741-2700 |