MRS. SHELLY DENICE DAVIS (FNP-BC) – Nurse Practitioner, NPI 1386805885
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for MRS. SHELLY DENICE DAVIS (FNP-BC)
612, Love Avenue, Tifton, Tift County, Georgia, 31794, United States
TIFTON, GA 31794
Phone: (229) 391-3300
Fax: (229) 388-1948
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $1,867.
Total Amount is formed as General ($1,867) + Research ($0) + Ownership ($0) = $1,867.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($290).
Total Amount
$1,867
General + Research + Ownership
Payments
107
Total payment records
General Amount
$1,867
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $290 |
| Novo Nordisk Inc | $188 |
| Astellas Pharma US Inc | $169 |
| Amgen Inc. | $161 |
| AstraZeneca Pharmaceuticals LP | $143 |
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: 2005-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050715000138 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 222 | 139 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 137 | 91 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 95 | 20 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 52 | 25 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 47 | 47 | $0 |
Insurance plans in this area (ZIP 31794)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 81002 | Urinalysis, manual test | 20 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Diagnostic Radiology | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Allergy/Immunology | GA | |
| General Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA |
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