TERESA C DAVIS (CRNP) – Nurse Practitioner, NPI 1992369581

TERESA C DAVIS (CRNP) is a healthcare provider. based in Talladega, Alabama. specializing in Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. F10181726 (AL). The NPI Number for TERESA C DAVIS (CRNP) is 1992369581

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TERESA C DAVIS (CRNP)
NPI
1992369581
Phone
(256) 872-0964
Address
1073 KELLY RANCH RD
Enumeration Date
29 April 2019
Last Update Date
29 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059790888
Graduation Year
2018 (8 years ago)
PAC ID
7416389267
Group Practice PAC ID
9739087818
Professional Enrollment ID
I20191115001065
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for TERESA C DAVIS (CRNP)

  • 1073, Kelly Ranch Road, Rendalia, Talladega County, Alabama, 35160, United States

    TALLADEGA, AL 351604607

    Phone: (256) 872-0964

    Type: Mailing

  • Holmes Drive, Lakeview, Jo Dell, Oxford, Calhoun County, Alabama, 36203, United States

    OXFORD, AL 362032420

    Phone: (205) 956-9192

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191115001065INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739087818View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family PracticeKY
Nurse PractitionerLA
General SurgeryAL
-AL
Physician AssistantAL
Nurse PractitionerAL
Emergency Medicine, Family PracticeAL
General SurgeryAL
-AL

Reviews

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Frequently asked questions

What is the 10-digit NPI for TERESA C DAVIS (CRNP)?
TERESA C DAVIS (CRNP) — NPI 1992369581 — is the standard way to identify this listing.
Is TERESA C DAVIS (CRNP) listed as active for patients and plans?
The listing shows TERESA C DAVIS (CRNP) as active in the NPI system.
What is TERESA C DAVIS (CRNP) best known for clinically?
Directory data describes TERESA C DAVIS (CRNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TERESA C DAVIS (CRNP)?
TERESA C DAVIS (CRNP)'s geographic hint is Talladega, Alabama in our summary view.
Why does TERESA C DAVIS (CRNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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