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Active NPI 1265147003 Individual Practitioner Female Practitioner

Nina S Davis , APRN PMHP-BC

Nurse Practitioner • Brunswick, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nina Davis, APRN PMHP-BC is a certified Nurse Practitioner practicing in Brunswick, GA. With approximately 5 years of clinical experience since completing medical education in 2021, Nina Davis delivers high-quality medical care to the local community at 700 COASTAL VILLAGE DR.

Nina Davis maintains professional affiliations with Aevum Bh Va Llc, Theoria Medical and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

700 Coastal Village Dr

Brunswick, GA 315201974

Telephone 8665599555
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Brunswick, GA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -3.3 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
23 Specialists

Practicing in Brunswick, GA (3149 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (5 Years) 5 Yrs
Brunswick Specialty Average (8.3 Years) 8.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5018787

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Case Management

NUCC Taxonomy Code: 251B00000X

State License TX 155605

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License TX 119804

Definition to come...

Registered Nurse - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 163WA0400X

State License NC 155605

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License NC 5018787

Definition to come...

Registered Nurse - Administrator

NUCC Taxonomy Code: 163WA2000X

State License MI 4704206128

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License MI 4704206128

Definition to come...

Psychiatry & Neurology - Psychiatry

NUCC Taxonomy Code: 2084P0800X

State License GA GAA-NP003855

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Registered Nurse - Pain Management

NUCC Taxonomy Code: 163WP0000X

State License DC RN1008379

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License VA 0024192802

Definition to come...

Registered Nurse - Critical Care Medicine

NUCC Taxonomy Code: 163WC0200X

State License DC RN1008379

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License NC 5018787

Definition to come...

Hospital & Practice Group Affiliations

Theoria Medical

1131 N Church St, Greensboro, NC 274011015

Phone: 2486601220

Aevum Bh Va Llc

1722 Lawrenceville Plank Rd, Lawrenceville, VA 238683351

Phone: 8044461710

Secondary Practice Locations

1391 Kildaire Farm Rd # 1080

Cary, NC 275115525

Phone: 9194383464

Practice Associates & Co-Workers

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

40 Associated Practitioners
Vanessa Walker

Social Worker

NPI 1013306976
Chrishonda Brown , RN

Registered Nurse

NPI 1053767467

Registered Nurse

Kerry Shaddix , RN

Registered Nurse

NPI 1053770651

Registered Nurse

Molly Mccallion , LCSW

Social Worker - Clinical

NPI 1073818597

Licensed Clinical Social Worker

Crystal Yoder-Sheehan , LMSW-CC

Social Worker - Clinical

NPI 1093530032

LMSWCC

Daniel Goss , RN

Registered Nurse

NPI 1215383179

Registered Nurse

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2026

Registered Nurse (License #RN1008379 in DC)

📍
Updated Practice Location December 23, 2025

Registered at 700 COASTAL VILLAGE DR, BRUNSWICK, GA 315201974 (Tel: 8665599555)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2025

Registered Nurse (License #RN1008379 in DC)

📍
Updated Practice Location October 30, 2025

Registered at 1391 KILDAIRE FARM RD # 1080, CARY, NC 275115525 (Tel: 9194383464)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Case Management (License #155605 in TX)

📍
Updated Practice Location August 11, 2024

Registered at 4250 CLINTON RD STE 102, FAYETTEVILLE, NC 283128517 (Tel: 9109201050)

📍
Updated Business Mailing Address August 11, 2024

Registered at 1391 KILDAIRE FARM RD # 1080, CARY, NC 275115525 (Tel: 2023521341)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2024

Registered Nurse (License #155605 in NC)

NPI Profile Active January 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2023

Registered at 420 TOPGOLF WAY APT 10209, AUGUSTA, GA 309090351 (Tel: 2023521341)

📍
Updated Business Mailing Address January 17, 2023

Registered at 420 TOPGOLF WAY APT 10209, AUGUSTA, GA 309090351 (Tel: 2023521341)

👤
Provider Name / Credentials Updated January 17, 2023

Recorded as NINA DAVIS, APRN PMHP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2023

Case Management (License #155605 in TX)

🟢
Initial NPI Registration & Enumeration January 17, 2023

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: 1265147003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2023
Last Update: June 08, 2026
Sole Proprietor: Yes

Mailing Address

1391 Kildaire Farm Rd # 1080

Cary, NC 275115525

Phone: 2023521341

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.