KATIE EVANS DAVIS (NP-C) – Family Nurse Practitioner, NPI 1669903084

KATIE EVANS DAVIS (NP-C) is a healthcare provider. based in Douglas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN170004 (GA). The NPI Number for KATIE EVANS DAVIS (NP-C) is 1669903084

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KATIE EVANS DAVIS (NP-C)
NPI
1669903084
Phone
(912) 383-7826
Address
306 WESTSIDE DR
Enumeration Date
27 March 2017
Last Update Date
27 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123837826
Graduation Year
2017 (9 years ago)
PAC ID
8022395789
Group Practice PAC ID
4789608738
Professional Enrollment ID
I20170505000755
Address ID
GA315333530DO306XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for KATIE EVANS DAVIS (NP-C)

  • 306, Westside Drive, Douglas, Coffee County, Georgia, 31533, United States

    DOUGLAS, GA 315333530

    Phone: (912) 383-7826

    Fax: (912) 383-7299

    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 192 Open Payments records for all available years, with a total value of $4,006.

Total Amount is formed as General ($4,006) + Research ($0) + Ownership ($0) = $4,006.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($740).

Total Amount

$4,006

General + Research + Ownership

Payments

192

Total payment records

General Amount

$4,006

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

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: 2017-05-05

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
I20170505000755INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes337103$0
82962Blood glucose (sugar) test performed by hand-held instrument11335$0
96372Injection of drug or substance under skin or into muscle7718$0
83036Hemoglobin a1c level6131$0
99214Established patient office or other outpatient visit, 30-39 minutes3728$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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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: 4789608738View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the registry number for KATIE EVANS DAVIS (NP-C)?
The registry entry for KATIE EVANS DAVIS (NP-C) shows NPI 1669903084.
Is KATIE EVANS DAVIS (NP-C)'s NPI status active today?
Active status means KATIE EVANS DAVIS (NP-C)'s NPI record is not deactivated in the public file.
How should patients interpret KATIE EVANS DAVIS (NP-C)'s specialty?
The extract shows Family Nurse Practitioner for KATIE EVANS DAVIS (NP-C). Clinical services aligned with this taxonomy classification.
Is KATIE EVANS DAVIS (NP-C) tied to Douglas, Georgia?
If you are local to Douglas, Georgia, KATIE EVANS DAVIS (NP-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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