MS. KIMBERLY ANN DAVIS (FNPBC) – Family Nurse Practitioner, NPI 1629341862

MS. KIMBERLY ANN DAVIS (FNPBC) is a healthcare provider. based in Baxley, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNPBC. They hold a License No. RN120009 (GA). The NPI Number for MS. KIMBERLY ANN DAVIS (FNPBC) is 1629341862

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY ANN DAVIS (FNPBC)
NPI
1629341862
Phone
(912) 705-5394
Address
24 GLENDALE AVE STE K
Enumeration Date
20 February 2012
Last Update Date
31 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9127055394
Graduation Year
2011 (15 years ago)
PAC ID
0143481531
Professional Enrollment ID
I20120411000620
Address ID
GA315130245BA24XXXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MS. KIMBERLY ANN DAVIS (FNPBC)

  • 24 GLENDALE AVE STE K

    BAXLEY, GA 315130245

    Phone: (912) 705-5394

    Fax: (912) 705-5396

    Type: Mailing

  • 1111 GLYNCO PKWY

    BLDG 1 SUITE10

    BRUNSWICK, GA 315257921

    Phone: (912) 264-9111

    Fax: (912) 262-6909

    Type: Mailing

  • 948 S MAIN ST

    BAXLEY, GA 315130138

    Phone: (912) 367-9112

    Fax: (912) 367-6233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($70).

Total Amount

$118

General + Research + Ownership

Payments

6

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

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: 2012-04-11

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
I20120411000620INurse PractitionerGATBD

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 minutes21335$0
99213Established patient office or other outpatient visit, 20-29 minutes3822$0
View full utilization report →

Insurance plans in this area (ZIP 31513)

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Reviews

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Frequently asked questions

Where can patients find MS. KIMBERLY ANN DAVIS (FNPBC)'s NPI?
You can confirm MS. KIMBERLY ANN DAVIS (FNPBC) with NPI 1629341862; it appears in the national provider directory.
Is MS. KIMBERLY ANN DAVIS (FNPBC) active in the national directory?
MS. KIMBERLY ANN DAVIS (FNPBC)'s public NPI profile is in an active state.
What field does MS. KIMBERLY ANN DAVIS (FNPBC) work in?
You can think of MS. KIMBERLY ANN DAVIS (FNPBC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MS. KIMBERLY ANN DAVIS (FNPBC) practice in Georgia?
You will see Baxley, Georgia on file for MS. KIMBERLY ANN DAVIS (FNPBC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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