Active NPI 1386805885 Individual Practitioner Female Practitioner

Shelly Denice Davis , FNP-BC

Nurse Practitioner • Tifton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shelly Davis, FNP-BC is a certified Nurse Practitioner practicing in Tifton, GA. With approximately 22 years of clinical experience since completing medical education in 2004, Shelly Davis delivers high-quality medical care to the local community at 612 LOVE AVENUE.

Shelly Davis is affiliated with Privia Medical Group Of Georgia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, ceftriaxone sodium, per 250 mg, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

612 Love Avenue

Tifton, GA 31794

Telephone 2293913300

Fax 2293881948

Associated Practice Facility / Clinic

🏢 Family Practice Assoicates Llc Facility NPI 1972725216

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tifton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +10.7 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Tifton, GA (3149 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (22 Years) 22 Yrs

Tifton Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	105	$183.00	$71.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	94	$270.00	$101.65
J0696 Injection, ceftriaxone sodium, per 250 mg	76	15	$3.00	$0.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	71	60	$40.00	$13.23
87804 Detection test by immunoassay with direct visual observation for influenza virus	56	26	$49.00	$16.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$342.00	$102.58
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	30	27	$173.33	$40.55
81003 Automated urinalysis test	21	18	$9.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	15	$49.00	$16.20
82044 Urine microalbumin (protein) analysis	13	13	$19.00	$6.11
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$58.00	$11.20
82570 Creatinine level to test for kidney function or muscle injury	13	13	$21.00	$5.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	139	$183.00	$72.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	91	$270.00	$103.37
J0696 Injection, ceftriaxone sodium, per 250 mg	95	20	$3.00	$0.52
87804 Detection test by immunoassay with direct visual observation for influenza virus	52	25	$49.00	$16.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$342.00	$104.61
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	41	37	$124.00	$40.55
81003 Automated urinalysis test	39	28	$9.00	$2.20
82570 Creatinine level to test for kidney function or muscle injury	24	20	$21.00	$5.08
82044 Urine microalbumin (protein) analysis	24	20	$19.00	$6.11
J1040 Injection, methylprednisolone acetate, 80 mg	20	16	$30.00	$11.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	143	$183.00	$73.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	90	$270.00	$103.54
J0696 Injection, ceftriaxone sodium, per 250 mg	94	17	$3.00	$0.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$342.00	$104.25
J1040 Injection, methylprednisolone acetate, 80 mg	26	24	$30.00	$11.22
81003 Automated urinalysis test	22	18	$9.00	$2.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	19	17	$124.00	$40.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	314	173	$183.00	$74.41
J0696 Injection, ceftriaxone sodium, per 250 mg	121	19	$3.00	$0.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$342.00	$108.52
J1040 Injection, methylprednisolone acetate, 80 mg	33	24	$22.24	$10.61
G0008 Administration of influenza virus vaccine	26	26	$76.00	$17.03
90662 Influenza vaccine split virus, preservative free	25	25	$152.00	$64.92
81003 Automated urinalysis test	22	20	$9.00	$2.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$110.00	$45.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$270.00	$106.25
G0009 Administration of pneumococcal vaccine	16	16	$76.00	$17.09
99441 Telephone medical discussion with physician, 5-10 minutes	15	13	$110.00	$45.34
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	15	12	$124.00	$41.38
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	12	12	$65.00	$15.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	169	$183.00	$61.48
J0696 Injection, ceftriaxone sodium, per 250 mg	83	17	$3.00	$0.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$342.00	$95.32
81003 Automated urinalysis test	60	52	$9.00	$2.24
J1040 Injection, methylprednisolone acetate, 80 mg	29	21	$22.00	$11.65
G0008 Administration of influenza virus vaccine	24	24	$76.00	$16.87
90662 Influenza vaccine split virus, preservative free	21	21	$139.62	$59.53
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	21	21	$65.00	$15.89
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$58.00	$13.79
G0009 Administration of pneumococcal vaccine	11	11	$76.00	$16.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	90	$183.00	$59.83
J0696 Injection, ceftriaxone sodium, per 250 mg	49	12	$3.00	$0.53
81003 Automated urinalysis test	36	33	$9.00	$2.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$342.00	$93.60
J1040 Injection, methylprednisolone acetate, 80 mg	17	17	$22.00	$11.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$270.00	$88.07
G0008 Administration of influenza virus vaccine	13	13	$76.00	$15.59
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$58.00	$13.67
90662 Influenza vaccine split virus, preservative free	12	12	$100.00	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	198	134	$100.00	$57.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	92	$125.00	$83.69
J0696 Injection, ceftriaxone sodium, per 250 mg	92	14	$30.00	$0.62
81003 Automated urinalysis test	58	54	$15.00	$2.71
J1040 Injection, methylprednisolone acetate, 80 mg	51	36	$40.00	$12.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$150.00	$91.41
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	33	33	$30.00	$19.25
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$65.00	$13.26
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	16	16	$100.00	$29.82
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	14	14	$50.00	$34.24
17000 Destruction of skin growth	12	11	$125.00	$51.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	214	142	$100.00	$57.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	102	$125.00	$84.23
J0696 Injection, ceftriaxone sodium, per 250 mg	109	19	$30.00	$0.65
81003 Automated urinalysis test	53	49	$15.00	$3.02
J1040 Injection, methylprednisolone acetate, 80 mg	39	28	$40.00	$10.58
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$65.00	$13.55
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	29	29	$30.00	$21.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$142.96	$92.95
90471 Administration of 1 vaccine	13	13	$25.00	$20.05
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	12	12	$70.00	$30.96
90662 Influenza vaccine split virus, preservative free	12	12	$45.83	$44.76
G0008 Administration of influenza virus vaccine	11	11	$25.00	$23.40

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN089222

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

481466728A (GA)

Hospital & Practice Group Affiliations

Privia Medical Group Of Georgia Llc

101 Yorktown Dr, Fayetteville, GA 302147663

Phone: 7704604285

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Carl Johnson , MD

Family Medicine

NPI 1023018561

Doctor of Medicine (M.D.)

Vivian Watson , FNP-C

Nurse Practitioner

NPI 1245565340

Family Nurse Practitioner (Certified)

Rebekah Tucker , FNP-C

Nurse Practitioner - Family

NPI 1265196869

Family Nurse Practitioner (Certified)

Ashley Ring , NP

Nurse Practitioner - Primary Care

NPI 1336626076

Nurse Practitioner

Arthur Davis , NP-C

Nurse Practitioner - Family

NPI 1366962227

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2016

Registered at 612 LOVE AVENUE, TIFTON, GA 31794 (Tel: 2293913300)

📍

Updated Business Mailing Address June 13, 2016

Registered at 612 LOVE AVENUE, TIFTON, GA 31794 (Tel: 2293913300)

👤

Provider Name / Credentials Updated June 13, 2016

Recorded as SHELLY DAVIS, FNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Nurse Practitioner (License #RN089222 in GA)

🟢

Initial NPI Registration & Enumeration June 18, 2008

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: 1386805885

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 18, 2008

Last Update: June 13, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

612 Love Avenue

Tifton, GA 31794

Phone: 2293913300

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.