SHIRLEY J DAVIS (NP) – Family Nurse Practitioner, NPI 1104390285
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,728 NURSE PRACTITIONER in TN
Provider Addresses for SHIRLEY J DAVIS (NP)
West Stone Drive, Howard Hill, Kingsport, Sullivan County, Tennessee, 37660-3000, United States
KINGSPORT, TN 376603256
Phone: (423) 408-7220
Fax: (423) 408-7205
Type: Mailing
115 Judge Gresham Rd Ste A
Gray, TN 376156213
Phone: (423) 467-3000
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 302-6565
Type: Mailing
North John B Dennis Highway, Preston Forest, Kingsport, Sullivan County, Tennessee, 37660-4610, United States
KINGSPORT, TN 376605904
Phone: (423) 578-8500
Fax: (423) 578-8569
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $487.
Total Amount is formed as General ($487) + Research ($0) + Ownership ($0) = $487.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Abbott Laboratories ($150).
Total Amount
$487
General + Research + Ownership
Payments
13
Total payment records
General Amount
$487
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $150 |
| ABBVIE INC. | $111 |
| Novartis Pharmaceuticals Corporation | $100 |
| AstraZeneca Pharmaceuticals LP | $38 |
| Seagen Inc. | $25 |
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: 2019-04-08
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20190408000807 | I | Nurse Practitioner | TN | 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 | 64 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 16 | $0 |
Insurance plans in this area (ZIP 37660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TN | |
| - | VA | |
| Family Practice | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Certified Nurse Midwife (Cnm) | NC | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| Hematology/Oncology, Hospitalist | FL | |
| Nurse Practitioner | TN |
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