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Katy Davis

General Practice β€’ Jacksonville, FL

Active NPI 1124775754 Individual Practitioner Female Practitioner
Practice location in NPPES

2080 Child St
Jacksonville, FL 322142575

Call 9045429417 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322142575

Telephone 9045429417
Organization at the Same NPPES Address or Phone
Naval Hospital Jacksonville Facility NPI 1265411383

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Katy Davis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Katy Davis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

81 active clinicians are listed under General Practice with a practice address in Jacksonville, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

7.4% of these 81 clinicians have the CMS telehealth indicator.

28.4% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-22
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101279685

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - FAMILY PRACTICE

Medicare Enrollment ID

I20231120000094

Enrollment State Jurisdiction

VA

PECOS Control ID

9739537473

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Emily Arnold , PA-C

Physician Assistant

NPI 1699496869

Physician Assistant (Certified)

Destyni Blaylock , ARNP

Nurse Practitioner

NPI 1386121135

Advanced Registered Nurse Practitioner

Dr. Kim Burke , DO

Anesthesiology

NPI 1891897336

Doctor of Osteopathic Medicine (D.O.)

Julia Camp , RN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1215550835

Registered Nurse, Certified Registered Nurse Anesthetist

Dr. Jerry Chandler , DO

Internal Medicine - Cardiovascular Disease

NPI 1598739856

Doctor of Osteopathic Medicine (D.O.)

Dr. Jenny Chen , MD

Emergency Medicine

NPI 1245436781

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 22, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322142575 (Tel: 9045429417)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2023

General Practice (license number reported to NPPES: VA 0101279685)

βœ…
NPI Profile Active March 03, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 03, 2022

Registered at 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472575 (Tel: 9104492649)

πŸ“
Business Mailing Address (Initial Record) March 03, 2022

Registered at 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472575 (Tel: 9104492649)

πŸ‘€
Provider Name / Credentials (Initial Record) March 03, 2022

Recorded as KATY DAVIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 03, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124775754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2022
Last Update: September 22, 2023
Sole Proprietor: Yes

Other General Practices in Jacksonville

All General Practices in Jacksonville

Mailing Address

100 Brewster Blvd

Camp Lejeune, NC 285472575

Phone: 9104492649

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.