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Nora Cecelia Gough-Davis

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NPI Number Detailed Information

Provider Information:

Name: Nora Cecelia Gough-Davis
Gender: F
Provider License Number If Given: R872155

NPI Information:

NPI: 1740410661
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/27/2009

Last Update Date: 4/14/2020

Provider Business Mailing Address:

Address: 112 W PEELER AVE P.O. BOX 299
Shaw, MS 38773
Phone Number: 6627543301
Fax Number: 6627543304

Provider Business Practice Location Address:

Address: 112 W PEELER AVE
Shaw, MS 38773
Phone Number: 6627543301
Fax Number: 6627543304

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any):
State: MS

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About Nora Cecelia Gough-Davis

Nora Cecelia Gough-Davis ( NORA CECELIA GOUGH-DAVIS ) is Definition Nurse Practitioner Physician in Shaw, MS. The NPI Number for Nora Cecelia Gough-Davis is 1740410661.
The current location address for Nora Cecelia Gough-Davis is 112 W PEELER AVE Shaw, MS 38773 and the contact number is 6627543301 and fax number is 6627543304. The mailing address for Nora Cecelia Gough-Davis is 112 W PEELER AVE P.O. BOX 299 Shaw, MS 38773- 6627543301 (mailing address contact number - 6627543301).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Nora Cecelia Gough-Davis ?


Answer: The NPI Number for Nora Cecelia Gough-Davis is 1740410661

Where is Nora Cecelia Gough-Davis located?


Answer: Nora Cecelia Gough-Davis is located at 112 W PEELER AVE Shaw, MS 38773.

What is the specialty for Nora Cecelia Gough-Davis ?


Answer: The Specialty of Nora Cecelia Gough-Davis is Definition Nurse Practitioner Physician.

Are there any online reviews for Nora Cecelia Gough-Davis ?


Answer: Not yet!

Are there any other health care providers in Shaw, MS?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Nora Cecelia Gough-Davis

Number of HCPCS 55
Number of Medicare Beneficiaries 254
Number of Services 2514
Total Submitted Charge Amount 161063.09
Total Medicare Allowed Amount 113318.57
Total Medicare Payment Amount 83367.51
Total Medicare Standardized Payment Amount 92586.1
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 76
Number of Drug Services 641
Total Drug Submitted Charge Amount 3265
Total Drug Medicare Allowed Amount 212.42
Total Drug Medicare Payment Amount 139.6
Total Drug Medicare Standardized Payment Amount 141.57
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 50
Number of Medicare Beneficiaries With Medical 254
Number of Medical Services 1873
Total Medical Submitted Charge Amount 157798.09
Total Medical Medicare Allowed Amount 113106.15
Total Medical Medicare Payment Amount 83227.91
Total Medical Medicare Standardized Payment Amount 92444.53
Average Age of Beneficiaries 64
Number of Beneficiaries Age Less 65 102
Number of Beneficiaries Age 65 to 74 116
Number of Beneficiaries Age 75 to 84 24
Number of Beneficiaries Age Greater 84 12
Number of Female Beneficiaries 146
Number of Male Beneficiaries 108
Number of Non-Hispanic White Beneficiaries 16
Number of Black or African American Beneficiaries 238
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 0
Number of Beneficiaries With Medicare & Medicaid Entitlement 168
Number of Beneficiaries With Medicare Only Entitlement 86
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.07
Percent (%) of Beneficiaries Identified With Heart Failure 0.23
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.5
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.65
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.24
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.1
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 1.3983

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 444
Number of Standardized 30-Day Fills 693.36666667
Aggregate Cost Paid for All Claims 24887.45
Number of Day's Supply for All Claims 19396
Number of Medicare Beneficiaries 92
Number of Claims, Including Refills, for Beneficiaries Age 65+ 275
Including Refills, for Beneficiaries Age 65+ 447.36666667
Beneficiaries Age 65+ 10631.18
Number of Day's Supply for All Claims for Beneficaries Age 65+ 12596
Number of Medicare Beneficiaries Age 65+ 65
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 392
Aggregate Cost Paid for Generic Drugs 4560.54
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 181
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 6747.47
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 263
Aggregate Cost Paid for Claims Filled by 18139.98
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 265
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 20313.73
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 179
by Low-Income Subsidy 4573.72
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 20
Aggregate Cost Paid for Antibiotic Drugs 257.23
Antibiotic Claims 16
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 68.25
Number of Beneficiaries Age Less Than 65 27
Number of Beneficiaries Age 65 to 74 46
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 64
Number of Male Beneficiaries 28
Number of Non-Hispanic White
Number of Black or African American 88
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 41
Average Hierarchical Condition Category 1.5814597555

More Providers in Shaw , MS

Shaw Community Care Clinic
Clinic/Center
NPI Number: 1659471894
Address: 112 PEELER AVE Shaw, MS 38773 , Phone: 6623328848
Mr. Ronnie Lane Poe
Pharmacist
NPI Number: 1629124516
Address: 118 E PEELER AVE Shaw, MS 38773 , Phone: 6627542241
Shaw Community Care Clinic
Family Medicine Physician
NPI Number: 1194854208
Address: 112 PEELER AVE Shaw, MS 38773 , Phone: 6627542060
Mr. Bradley Alan Cooper
Occupational Therapist
NPI Number: 1174744932
Address: 12 CARMELITA CV Shaw, MS 38773 , Phone: 6628467228
Nora Cecelia Gough-Davis
Family Nurse Practitioner
NPI Number: 1740410661
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Shaw Family Medical, Llc
Clinic/Center
NPI Number: 1750642633
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Forever Youthful Adult Educational And Recreational Center
Adult Day Care Clinic/Center
NPI Number: 1871936716
Address: 149 EAST PEELER AVE Shaw, MS 38733 , Phone: 6627543114
Preservers Of Life Hospice
Community Based Hospice Care Agency
NPI Number: 1053751529
Address: 210 A HWY 61 SOUTH Shaw, MS 38773 , Phone: 6625884026
Dr. Joseph Glenn Peeler JR.
Family Medicine Physician
NPI Number: 1255768362
Address: 311 DEAN BLVD. Shaw, MS 38773 , Phone: 6627546151
Mrs. Victoria Curry
Homemaker
NPI Number: 1942616446
Address: 221 BAYOU STREET Shaw, MS 38773 , Phone: 6625887742
Teresa Wilson
Adult Health Nurse Practitioner
NPI Number: 1023507456
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Making Moves In The Community, Incorporated
Family Medicine Physician
NPI Number: 1851884266
Address: 112 EAST PEELER AVE Shaw, MS 38773 , Phone: 6624021138
Clifton Dewayne Reed
Family Nurse Practitioner
NPI Number: 1912480328
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543304
Mrs. Willie Mary Bolden
Family Nurse Practitioner
NPI Number: 1518428283
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627456638
Maximum Care After Hours Clinic, Llc
Clinic/Center
NPI Number: 1669018008
Address: 212 HIGHWAY 61 Shaw, MS 38773 , Phone: 6625888009
Mrs. Regina Jonelle Evans
Family Nurse Practitioner
NPI Number: 1609416544
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Naala Latrice Davis
Family Nurse Practitioner
NPI Number: 1982218566
Address: 415 HIGHWAY 61 Shaw, MS 38773 , Phone: 6627542226
Tiffany Sherell Newell
Family Nurse Practitioner
NPI Number: 1538774310
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Mrs. Kimberly Drake
Community/Behavioral Health Agency
NPI Number: 1386214484
Address: 500 CAANAN STREET Shaw, MS 38773 , Phone: 6627198467
Ms. Carmaleta L. Shaw
School Counselor
NPI Number: 1548935380
Address: 103 SCOTT STREET Shaw, MS 38773 , Phone: 6623749794
Key Behavior Solutions Consulting Group (Kbs)
Mental Health Counselor
NPI Number: 1134899107
Address: 103 SCOTT STREET Shaw, MS 38773 , Phone: 6623749794
Kim Davis
Family Medicine Physician
NPI Number: 1861150401
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Angela M Campbell
Psychiatric/Mental Health Nurse Practitioner
NPI Number: 1144965898
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627197457
Shekendra Patty Bryant
Student in an Organized Health Care Education/Training Program
NPI Number: 1295454866
Address: 138 E PEELER SUITE277 -277 Shaw, MS 38773 , Phone: 6625881584
Delta Drugs Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1508841917
Address: 118 PEELER AVE Shaw, MS 38773 , Phone: 6627542241

Nora Cecelia Gough-Davis in Other Directories

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