Kimberly Michel Davis, AGACNP
NPI 1063052470ActiveIndividual· Nurse Practitioner, Gerontology· Braselton, GA
Nurse Practitioner, Gerontology (AGACNP) with Northeast Georgia Physicians Group Inc, practicing in Braselton, Georgia. Enrolled in Medicare as practitioner - nurse practitioner. Lists Northeast Georgia Medical Center, Inc as a hospital affiliation.
Overview
| NPI | 1063052470 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | Yes |
| NPI issued | Jan 14, 2020 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | RN256254 | GA |
| Nurse Practitioner, School | 363LS0200X | RN256254 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Northeast Georgia Physicians Group IncGainesville, GA · 883 clinicians
Hospital affiliation
- Northeast Georgia Medical Center, IncGainesville, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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