Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124775754 Individual Practitioner Female Practitioner

Katy Davis

General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Katy Davis is a registered healthcare professional specializing in General Practice in Jacksonville, FL. Practice services are available at 2080 CHILD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322142575

Telephone 9045429417
Associated Practice Facility / Clinic
🏢 Naval Hospital Jacksonville Facility NPI 1265411383

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
84 Specialists

Practicing in Jacksonville, FL (2490 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-22
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101279685

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Steven Undheim , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003357559
Ramona Greene

Registered Nurse - Medical-Surgical

NPI 1003458787
Dr. Hannah Gould , MD

Military Health Care Provider

NPI 1003665803

Doctor of Medicine (M.D.)

Dr. Ronald Appleby , DMD

Dentist - General Practice

NPI 1003886300

Doctor of Dental Medicine

Debra Wagner , CNM, ARNP

Advanced Practice Midwife

NPI 1013050095

Certified Nurse Midwife, Advanced Registered Nurse Practitioner

NPI 1013653732

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 22, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322142575 (Tel: 9045429417)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2023

General Practice (License #0101279685 in VA)

NPI Profile Active March 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2022

Registered at 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472575 (Tel: 9104492649)

📍
Updated Business Mailing Address March 03, 2022

Registered at 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472575 (Tel: 9104492649)

👤
Provider Name / Credentials Updated March 03, 2022

Recorded as KATY DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124775754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2022
Last Update: September 22, 2023
Sole Proprietor: Yes

Mailing Address

100 Brewster Blvd

Camp Lejeune, NC 285472575

Phone: 9104492649

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.