ELIZABETH CORLEY DAVENPORT-FOX (NPI# 1619225430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619225430 |
| Entity Type | Individual |
| Full Name | ELIZABETH CORLEY DAVENPORT-FOX |
| Other Name | ELIZABETH CORLEY DAVENPORT |
| Credential | DNP, APRN, ANP-BC |
| Practice Address |
517 Puckett Ferry Rd Greenwood SC 29649 |
| Mailing Address |
517 Puckett Ferry Rd Greenwood SC 29649-8698 |
| Practice Telephone | 8643884325 |
| Practice Fax Number | 8643884327 |
| Mailing Telephone | 8643884325 |
| Mailing Fax Number | 8643884327 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
17952 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 517 Puckett Ferry Rd, Greenwood, SC 29649 | 8643884325 | 8643884327 |
| Street Address |
517 PUCKETT FERRY RD |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481055 | Darly M Bernardo | Family Medicine | 517 Puckett Ferry Rd, Greenwood, SC 29649-8698 | 2005-07-19 |
| 1467791012 | Healthworks Med Group of South Carolina P C | Clinic/Center | 517 Puckett Ferry Rd, Greenwood, SC 29649-8698 | 2013-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801335591 | Susan Elizabeth Sipes | Nurse Practitioner | 533 E County Line Rd Ste 201, Greenwood, IN 46143-1074 | 2017-02-15 |
| 1417304734 | Kelly Ardis | Nurse Practitioner | 216 Andrews Ave, Greenwood, SC 29646-2107 | 2016-05-17 |
| 1689183246 | Chakita Lavet Beverly | Nurse Practitioner | 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 | 2017-09-27 |
| 1073044954 | Caitlin Elizabeth Luebcke | Nurse Practitioner | 701 E County Line Rd, #101, Greenwood, IN 46143-1072 | 2017-03-23 |
| 1083096465 | Courtney Nelson | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2015-06-23 |
| 1871900498 | Stacey Michelle Engel | Nurse Practitioner | 821 N State Road 135, Greenwood, IN 46142-1314 | 2014-07-15 |
| 1285914564 | Abigail L Strehle | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2011-08-18 |
| 1760786230 | Piedmont Internal Medicine of Greenwood, P.a. | Nurse Practitioner | 104 Liner Dr, Greenwood, SC 29646-2310 | 2010-12-27 |
| 1063652717 | Leslie Mactaggart Myers | Nurse Practitioner | 1029 Edgefield St, Greenwood, SC 29646-3205 | 2009-02-20 |
| 1790973790 | Terry Ann Forss | Nurse Practitioner | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1079 | 2007-10-04 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on ELIZABETH CORLEY DAVENPORT-FOX.
| 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.