Kimberly Davis, AGACNP
NPI 1063052470 · Gerontology Nurse Practitioner · Braselton, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Davis, AGACNP is a Gerontology Nurse Practitioner provider in Braselton, GA (NPI 1063052470).
Provider details
- NPI number
- 1063052470
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN256254 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 500 Wagon Hill LnSugar Hill, GA 30518-8034Phone: (470) 214-9756Fax: (470) 201-1303
Registry dates
- Enumerated
- 2020-01-14
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Frequently asked questions
- What is Kimberly Davis's NPI number?
- Kimberly Davis's National Provider Identifier (NPI) is 1063052470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Davis's specialty?
- Kimberly Davis is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Davis located?
- Kimberly Davis's practice location on file with NPPES is 1400 River Pl, Braselton, GA 30517-5600.
- What is Kimberly Davis's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Davis is (770) 848-8000.
- Does Kimberly Davis accept Medicare?
- Kimberly Davis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Davis's NPI active?
- Yes — Kimberly Davis's NPI (1063052470) is active in the NPPES registry as of the last update on 2025-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.