AMANDA DAVENPORT (NP-C) – Family Nurse Practitioner, NPI 1174018857

AMANDA DAVENPORT (NP-C) is a healthcare provider. based in Fort oglethorpe, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 24402 (TN). The NPI Number for AMANDA DAVENPORT (NP-C) is 1174018857

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA DAVENPORT (NP-C)
NPI
1174018857
Phone
(706) 858-2000
Address
100 GROSS CRESCENT CIR
Enumeration Date
26 June 2018
Last Update Date
31 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4237086495
Graduation Year
2018 (8 years ago)
PAC ID
3274882816
Group Practice PAC ID
4688586134
Professional Enrollment ID
I20201028003240
Address ID
TN374032836CH1032XAVEX301
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

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for AMANDA DAVENPORT (NP-C)

  • Gross Crescent, Park City, Fort Oglethorpe, Catoosa County, Georgia, 30741, United States

    FORT OGLETHORPE, GA 307423643

    Phone: (706) 858-2000

    Type: Location

  • 2504 Maplewood Dr

    Chattanooga, TN 374211312

    Phone: (931) 247-6575

    Type: Location

  • Maplewood, Brainerd Park, Chattanooga, Hamilton County, Tennessee, 37411SS, United States

    CHATTANOOGA, TN 374211312

    Phone: (931) 247-6575

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $2,368.

Total Amount is formed as General ($2,368) + Research ($0) + Ownership ($0) = $2,368.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($427).

Total Amount

$2,368

General + Research + Ownership

Payments

61

Total payment records

General Amount

$2,368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180815002451INurse PractitionerGATBD
I20201028003240INurse PractitionerTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
99215Established patient office or other outpatient visit, 40-54 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 30742)

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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: 4688586134View full group profile

Reviews

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Frequently asked questions

What is AMANDA DAVENPORT (NP-C)'s NPI number?
AMANDA DAVENPORT (NP-C)'s NPI is 1174018857 — the number used across U.S. healthcare to identify this provider.
Is AMANDA DAVENPORT (NP-C) still an active registrant?
AMANDA DAVENPORT (NP-C) carries an active NPI according to the public dataset.
What clinical focus is listed for AMANDA DAVENPORT (NP-C)?
At a glance, AMANDA DAVENPORT (NP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is AMANDA DAVENPORT (NP-C) registered?
Use Fort Oglethorpe, Georgia as the headline location for AMANDA DAVENPORT (NP-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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