Active NPI
T. Albert Davis, M.D., PC
- Adult Mental Health Clinic/Center
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 012079
- Legal business name
- T. ALBERT DAVIS, M.D., PC
- Practice address
- 634 Peachtree Pkwy
Suite 210
Cumming, GA 30041-9782 - Phone
- (770) 888-1011
- Fax
- (770) 888-6766
- NPI assigned
- Nov 13, 2008
- Last updated
- Nov 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Albert Davis, M.D.
- Title
- President
- Phone
- (770) 888-1011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 012079 | GA | Primary |
Addresses
Primary practice location
634 Peachtree Pkwy
Suite 210
Cumming, GA 30041-9782
Mailing address
1595 Peachtree Pkwy
Suite 204 - #105
Cumming, GA 30041-9584
Phone (770) 888-1011
National Provider Directory
National Provider DirectoryLocations
634 Peachtree Pkwy
Ste 210
Cumming, GA 30041
Phone (678) 513-7676
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Cumming, GA
- NPI 1194844365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226534400000",
"number": "1013161322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 PEACHTREE PKWY",
"address_2": "SUITE 204 - #105",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419584",
"telephone_number": "770-888-1011",
"fax_number": "770-888-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 PEACHTREE PKWY",
"address_2": "SUITE 210",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419782",
"telephone_number": "770-888-1011",
"fax_number": "770-888-6766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T. ALBERT DAVIS, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-888-1011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "GA",
"license": "012079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.