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Deactivated NPI 1437378130 Deactivated / Inactive NPI Female Practitioner

Connie Lee Davis , RN

Registered Nurse • Cedar Bluff, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Connie Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 24, 2007
NPI Deactivation Date October 19, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Connie Davis, RN was a registered Registered Nurse practicing in Cedar Bluff, VA. Throughout an active medical career spanning 14 years, Connie Davis provided care at the practice location at 111 TOWN HOLLOW RD until profile deactivation on 2021-10-19.

Practice Location & Contact Primary Location

Practice Address

111 Town Hollow Rd

Cedar Bluff, VA 246099622

Telephone 2769633554
Associated Practice Facility / Clinic
🏢 Galax Treatment Center, Llc Facility NPI 1386783314

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Cedar Bluff, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Cedar Bluff, VA (1328 Statewide)

Telehealth Adoption Rate
0.0% 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

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License VA 0001086390

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

36 Associated Practitioners
Teresa Fields , BS

Counselor - Addiction (Substance Use Disorder)

NPI 1043462872

Bachelor of Science

Karen Waldron , BA

Counselor - Addiction (Substance Use Disorder)

NPI 1053533125

Bachelor of Arts

Matt Smith

Counselor - Addiction (Substance Use Disorder)

NPI 1073764361
Tamara Mitchell

Counselor - Addiction (Substance Use Disorder)

NPI 1114148384
Michaela Barnes

Counselor - Professional

NPI 1114410016
Patti White , LPC, LSATP, CSAC

Counselor - Professional

NPI 1114634615

Licensed Professional Counselor, LSATP, Certified Substance Abuse Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 19, 2021

Record deactivated on October 19, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 111 TOWN HOLLOW RD, CEDAR BLUFF, VA 246099622 (Tel: 2769633554)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 5, POUNDING MILL, VA 246370005 (Tel: 2769647611)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CONNIE DAVIS, R.N

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Registered Nurse (License #0001086390 in VA)

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Initial NPI Registration & Enumeration April 24, 2007

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: 1437378130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: July 08, 2007
Deactivation Date: October 19, 2021

Mailing Address

Po Box 5

Pounding Mill, VA 246370005

Phone: 2769647611

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.