Clinton Davis Jr., NP
NPI 1134007677ActiveIndividual· Nurse Practitioner, Family· Stone Mountain, GA
Nurse Practitioner, Family (NP) with Acs Primary Care Physicians - Southeast PC, practicing in Stone Mountain, Georgia. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1134007677 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Aug 22, 2025 |
| Last updated in NPPES | Aug 22, 2025 |
| Certified by provider | Aug 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN334088 | 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
- Acs Primary Care Physicians - Southeast PCMyrtle Beach, SC · 420 clinicians
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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