Ms Jorri Shonte Davis, FNP-C - Medicare Nurse Practitioner in Canton, MS

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Ms Jorri Shonte Davis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Canton, Mississippi. Her current practice location is 540 Cowan Street, Canton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (516) 210-5600.

Ms Jorri Shonte Davis is licensed to practice in Mississippi (license number R870049) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942505706.

Contact Information

Ms Jorri Shonte Davis, FNP-C
540 Cowan Street,
Canton, MS 39046
(516) 210-5600
(917) 254-4419

Map and Direction




Provider's Profile

Full NameMs Jorri Shonte Davis
GenderFemale
SpecialityNurse Practitioner - Family
Location540 Cowan Street, Canton, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942505706
  • Provider Enumeration Date: 01/25/2011
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234311085
  • Enrollment ID: I20110315000804

Medical Identifiers

Medical identifiers for Ms Jorri Shonte Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942505706NPI-NPPES
00303529MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN739408 (Pennsylvania)Secondary
163W00000XRegistered Nurse 61173059 (Washington)Secondary
163W00000XRegistered Nurse RN95325319 (California)Secondary
363L00000XNurse Practitioner R870049 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family SP023870 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family 53-79830-021 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 11015877 (Florida)Secondary
363LF0000XNurse Practitioner - Family C-RXN.0001402-C-NP (Colorado)Secondary
363LF0000XNurse Practitioner - Family 0024180866 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 61173059 (Washington)Secondary
363LF0000XNurse Practitioner - Family 202211989NP-PP (Oregon)Secondary
363LF0000XNurse Practitioner - Family R870049 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Jorri Shonte Davis allows following entities to bill medicare on her behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NamePremier Pain Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336408186
PECOS PAC ID: 5395901714
Enrollment ID: O20120730000193
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827
Entity NameApp Of Mississippi Ed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534
Entity NameYazoo Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447806914
PECOS PAC ID: 0749511574
Enrollment ID: O20191009002380

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jorri Shonte Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jorri Shonte Davis, FNP-C
540 Cowan St,
Canton, MS 39046-4142

Ph: (601) 502-3894		Ms Jorri Shonte Davis, FNP-C
540 Cowan Street,
Canton, MS 39046

Ph: (516) 210-5600

Reviews and Comments


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Kristy L Robinson, FNP
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Phone: 601-859-5213    Fax: 601-859-8771
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Mrs. Donna S. Foster, CFNP
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Natwassie Truly, FNPC
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Practice Location: 156 River Oaks Dr, Suite A, Canton, MS 39046
Phone: 601-855-5287    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.