SHELLEY NICHOLE DAVIS (NPI# 1144795212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144795212 |
| Entity Type | Individual |
| Full Name | SHELLEY NICHOLE DAVIS |
| Credential | PHARMD |
| Practice Address |
1810 Tift Ave N Tifton GA 31794-3542 |
| Mailing Address |
111 Oakwood Ct Tifton GA 31793-5756 |
| Practice Telephone | 2293398485 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH027867 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879237 | Shelley Davis | Nurse Practitioner | 3104 Mystic Falls Dr, Jacksonville, FL 32224-4887 | 2018-01-29 |
| 1558960625 | Shelley Davis | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-20 |
| 1992357305 | Shelley Moore Davis | Occupational Therapist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2019-07-15 |
| 1972089183 | Shelley Davis | Occupational Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2018-07-11 |
| 1467971945 | Shelley Davis | Speech-Language Pathologist | 1809 Precinct Line Rd, Hurst, TX 76054-3132 | 2017-09-15 |
| 1063826881 | Shelley Davis | Social Worker | 250 S Henry St, Delaware, OH 43015-2978 | 2014-06-19 |
| 1235568742 | Shelley Leilani Davis | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2013-11-05 |
| 1275971558 | Shelley Anne Davis | Counselor | 106 E Elm St, Gainesville, TX 76240-4008 | 2013-06-10 |
| 1427296334 | Shelley Elaine Davis | Social Worker | 100 Corner of Sidney & Lamont, Building 200, Mountain Home, TN 37684 | 2009-01-30 |
| 1932155728 | Shelley S Davis | Nurse Anesthetist, Certified Registered | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2006-05-25 |
| Street Address |
1810 TIFT AVE N |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497137368 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1810 Tift Ave N, Tifton, GA 31794-3542 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1578061263 | Thomas Judson Andrew Ott | Pharmacist | 602 Virginia Ave N, Tifton, GA 31794-4245 | 2018-01-26 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1932659497 | Jacob Sauls | Pharmacist | 2814 Wilson Ave N, Tifton, GA 31794-1328 | 2016-10-09 |
| 1548645187 | James Fulp | Pharmacist | 3 Gaston Ave, Tifton, GA 31794-2075 | 2015-07-24 |
| 1467790188 | Zachary James Tomberlin | Pharmacist | 208 Main St S, Tifton, GA 31794-4835 | 2013-01-30 |
| 1306116587 | Tu Thi Ngo | Pharmacist | 620 Virginia Ave N, Tifton, GA 31794-4227 | 2012-01-05 |
| 1134286412 | Daniel C Royal Jr. | Pharmacist | 1620 John Orr Drive, Tifton, GA 31794 | 2007-01-03 |
| 1912063074 | Charlene Fletcher | Pharmacist | 214 18th St E, Suite A, Tifton, GA 31794-3512 | 2006-12-30 |
| 1497794986 | William Iverson Posey | Pharmacist | 302 Main St S, Tifton, GA 31794-4814 | 2006-06-06 |
| Find all providers in TIFTON | ||||
Please comment or provide details below to improve the information on SHELLEY NICHOLE DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.