Organization Active NPI

T. Albert Davis, M.D., PC

  • Adult Mental Health Clinic/Center
  • Cumming, GA
National Provider Identifier
1013161322
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
012079 Issued in GA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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.NPI 1194844365
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.