MR. CHARLES SETH DAVIS (NPI# 1699194522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699194522 |
| Entity Type | Individual |
| Full Name | MR. CHARLES SETH DAVIS |
| Credential | CRNP |
| Practice Address |
19250 N Mobile St Citronelle AL 36522-2122 |
| Mailing Address |
251 N Bayou St Mobile AL 36603-5827 |
| Practice Telephone | 2518667454 |
| Practice Fax Number | 2518669121 |
| Mailing Telephone | 2516908158 |
| Mailing Fax Number | 2515442188 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-091410 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-091410 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | NPI GROUP PAYEE NUMBER | 1063439065 | 01 |
| AL | MEDICARE GROUP PAYEE NUMBER | 011846 | 01 |
| AL | 630000013 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726435 | Charles Wayne Davis | Pharmacist | 1900 Patterson St Ste 200, Nashville, TN 37203-2167 | 2018-10-17 |
| 1588073175 | Charles R. Davis Jr. | Home Health Aide | 436 E Carpenter Dr, New Carlisle, OH 45344-2529 | 2014-08-07 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1285055715 | Charles Andre Davis | Counselor | 1211 Putnam Ave, Brooklyn, NY 11221-4909 | 2013-12-31 |
| 1154669026 | Charles King Davis Jr. | Surgery | 755 Woodland Dr, Paducah, KY 42001-4677 | 2013-01-28 |
| 1417260936 | Charles A Davis Jr. | Dentist | 303 S Boulevard, Apt 10, Richmond, VA 23220-5769 | 2010-07-26 |
| 1417287160 | Charles F Davis | Physical Therapist | 232 Oleander Ave, Palm Beach, FL 33480-3807 | 2009-12-31 |
| 1548427818 | Charles M Davis Jr. | Pharmacist | 2530 Marilyn St, Pocatello, ID 83201-8022 | 2008-05-22 |
| 1174719033 | Charles Henry Davis | Orthotist | 4859 Shed Rd, Suite 200, Bossier City, LA 71111 | 2007-09-24 |
| 1831306349 | Charles Gentry Davis Jr. | Dentist | 331 De Baliviere Ave, Saint Louis, MO 63112-1803 | 2007-05-16 |
| Street Address |
19250 N MOBILE ST |
| City | CITRONELLE |
| State | AL |
| Zip Code | 36522-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053406280 | Mobile County Board of Health | Clinic/Center | 19250 N Mobile St, Citronelle, AL 36522-2122 | 2006-10-04 |
| 1992129860 | Nancy Ursprung | Nurse Practitioner | 19250 N Mobile St, Citronelle, AL 36522-2122 | 2014-02-12 |
| 1780810622 | Latanja Shanta Batain | Nurse Practitioner | 19250 N Mobile St, Citronelle, AL 36522-2122 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871622555 | Citronelle Drug Co Inc | Durable Medical Equipment & Medical Supplies | 19240 Mobile St, Citronelle, AL 36522 | 2007-03-05 |
| 1306974704 | Edmond Charles Henson | Family Medicine | 19280 Howard Ave, Citronelle, AL 36522-2016 | 2007-02-28 |
| 1790743961 | Amedisys Home Health of Alabama, LLC | Home Health | 19375 N 3rd St, Suite 101, Citronelle, AL 36522-2044 | 2006-05-03 |
| 1164794343 | Gmuc of Citronelle LLC | Family Medicine | 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 | 2012-02-02 |
| 1437141355 | Delta Health Group Inc | Skilled Nursing Facility | 19225 N 4th St, Citronelle, AL 36522-2051 | 2005-08-17 |
| 1730530130 | Crowne Health Care of Citronelle, LLC | Skilled Nursing Facility | 19225 N 4th St, Citronelle, AL 36522-2051 | 2016-06-27 |
| 1033379854 | Al Citronelle LLC | Skilled Nursing Facility | 19225 N 4th St, Citronelle, AL 36522-2051 | 2008-06-16 |
| 1457383481 | Freds Stores of Tennessee Inc | Pharmacy | 19580 N 3rd St, Citronelle, AL 36522-2082 | 2006-07-07 |
| 1114972130 | Michael Clay Garver | Dentist | 19260 N Mobile St, Citronelle, AL 36522-2122 | 2006-05-25 |
| 1578919890 | Mobile County Board of Health | Clinic/Center | 19260 N Mobile St, Citronelle, AL 36522-2122 | 2016-05-05 |
| Find all providers in zip 36522 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765872 | Tracie Diane Lavinsky | Nurse Practitioner | 13025 Alla Dr, Coker, AL 35452-3780 | 2020-09-21 |
| 1861007957 | Kerri Lane Griffin | Nurse Practitioner | 1275 James Dr Ste A, Enterprise, AL 36330-2484 | 2020-09-15 |
| 1457971079 | Lindsay Morris | Nurse Practitioner | 122 7th Ave Ne Ste D, Alabaster, AL 35007-9121 | 2020-04-23 |
| 1508492505 | Tiffany Michele Folse | Nurse Practitioner | 9618 Chariot Ave, Fairhope, AL 36532-7412 | 2020-03-21 |
| 1548809239 | Isuan Iriabho | Nurse Practitioner | Russell Medical Center, 3316 Us-280, Alexander City, AL 35010-9114 | 2019-12-30 |
| 1104476423 | Anaidra L Reese | Nurse Practitioner | 2079 S Evergreen Dr, Auburn, AL 36830-6942 | 2019-09-18 |
| 1104481944 | Deanna Montieth | Nurse Practitioner | 718 Downtowner Loop W, Mobile, AL 36609-5504 | 2019-05-07 |
| 1538622055 | Dana Marie Register | Nurse Practitioner | 11119 S County Road 49, Slocomb, AL 36375-5871 | 2019-04-11 |
| 1396218707 | Christine Wood | Nurse Practitioner | 4704 Whitesburg Dr Sw Ste 100, Huntsville, AL 35802-4302 | 2019-01-08 |
| 1780151514 | Mary Virginia Halbrooks | Nurse Practitioner | 1001 Hill St Sw, Hartselle, AL 35640-2801 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
| City | CITRONELLE |
| Zip Code | 36522 |
Please comment or provide details below to improve the information on MR. CHARLES SETH 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.