Individual provider Active NPI

Ana Davila, DC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1043925548
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009689 Issued in GA
Practice address
2035 Memorial Dr SE Apt 1708
Atlanta, GA 30317-2526
Phone
(787) 365-5480
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009689 GA Primary

Addresses

Primary practice location

2035 Memorial Dr SE Apt 1708
Atlanta, GA 30317-2526

Mailing address

2035 Memorial Dr SE Apt 1708
Atlanta, GA 30317-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406002418 NC Practitioner - Chiropractic 4082089909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Family and Injury ChiropracticGroup PAC ID 6608153689, 2 clinicians

Practice addresses (Care Compare)

4908 Professional CT
Raleigh, NC 27609-4914
Phone (919) 876-9472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5591NCMDPsychologist
CHIR009689GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Family and Injury Chiropractic Chiropractor CurrentSince Feb 13, 2023 Accepting new patients
Brower Chiropractic Center CurrentSince Feb 13, 2023 Accepting new patients

Locations

4908 Professional Ct
Raleigh, NC 27609
Phone (919) 850-2440

6009 Falls of Neuse Rd
Raleigh, NC 27609
Phone (919) 355-8739

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1043925548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 MEMORIAL DR SE APT 1708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 MEMORIAL DR SE APT 1708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172526",
            "telephone_number": "787-365-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "ANA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.