Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kimberly Ann Davis, FNPBC

Individual provider Family Nurse Practitioner · NPI 1629341862

MS. Kimberly Ann Davis, FNPBC is a Nurse Practitioner in Baxley, Georgia. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2012
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Practice location Address checks out

24 Glendale Ave Ste K
Baxley, GA 31513-0245
Phone: (912) 705-5394
Fax: (912) 705-5396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN120009 (GA)

Record details

NPI number1629341862
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNPBC
Sole proprietorNo
NPI enumeratedFebruary 20, 2012
Last updated in NPPESOctober 31, 2022
Certification dateSeptember 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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