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Katy Davis

NPI 1124775754ActiveIndividual· General Practice· Jacksonville, FL

General Practice in Jacksonville, Florida, licensed in VA, with an NPI issued in March 2022. Enrolled in Medicare as order and referring only - family practice.

Overview

NPI1124775754
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMar 3, 2022
Last updated in NPPESSep 22, 2023
Certified by providerSep 22, 2023

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X0101279685VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Family Practice (VA)

Medicare sources and data years

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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