Nora Cecelia Gough-davis, FNP - Medicare Nurse Practitioner in Shaw, MS

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Nora Cecelia Gough-davis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shaw, Mississippi. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 112 W Peeler Ave, Shaw, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 754-3301.

Nora Cecelia Gough-davis is licensed to practice in Mississippi (license number R872155) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740410661.

Contact Information

Nora Cecelia Gough-davis, FNP
112 W Peeler Ave,
Shaw, MS 38773-8710
(662) 754-3301
(662) 754-3304

Map and Direction




Provider's Profile

Full NameNora Cecelia Gough-davis
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location112 W Peeler Ave, Shaw, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nora Cecelia Gough-davis graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1740410661
  • Provider Enumeration Date: 07/27/2009
  • Last Update Date: 04/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0749322345
  • Enrollment ID: I20100120000411

Medical Identifiers

Medical identifiers for Nora Cecelia Gough-davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740410661NPI-NPPES
09801514MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R872155 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bolivar Medical CenterCleveland, MSHospital

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. Nora Cecelia Gough-davis allows following entities to bill medicare on her behalf.
Entity NameShaw Family Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750642633
PECOS PAC ID: 3072769843
Enrollment ID: O20120809000742
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 NameDelta Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215501788
PECOS PAC ID: 5890101208
Enrollment ID: O20210603000314
Entity NameMaking Moves In The Community Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851884266
PECOS PAC ID: 4284038738
Enrollment ID: O20210806000017

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. Nora Cecelia Gough-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
Nora Cecelia Gough-davis, FNP
112 W Peeler Ave, P.o. Box 299,
Shaw, MS 38773-8710

Ph: (662) 754-3301		Nora Cecelia Gough-davis, FNP
112 W Peeler Ave,
Shaw, MS 38773-8710

Ph: (662) 754-3301

Reviews and Comments


Nurse Practitioner Nurses in Shaw, MS

Teresa Wilson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    
Mrs. Willie Mary Bolden,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-745-6638    
Tiffany Sherell Newell, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    
Mrs. Sereka V Walker, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    Fax: 662-754-3304
Mrs. Regina Jonelle Evans, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    Fax: 662-754-3304
Clifton Dewayne Reed,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3304    Fax: 662-754-3301

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.