Lissa Lowry Davis, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003404 Issued in GA

Practice address

108 E Ponce de Leon Ave
208
Decatur, GA 30030-2512

Phone

(678) 952-7078

NPI assigned

Apr 1, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lissa Tchernis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1023250388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E PONCE DE LEON AVE",
            "address_2": "SUITE 208",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302512",
            "telephone_number": "678-952-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E PONCE DE LEON AVE",
            "address_2": "208",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302512",
            "telephone_number": "678-952-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISSA",
        "middle_name": "LOWRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISSA",
            "last_name": "TCHERNIS",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Davis
• Joseph D Davis
• Kelsey C Davis, PA-C
• Kendall Davis, LMFT
• Lisha Butler Davis, PA
• Mariel Davis
• Martale Jerrell Davis, PH.D.
• Mary Kalyn Davis
• Melissa Davis, LAPC
• Miyakia Davis

• Clinical Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.