Active NPI
Ashli Davis, LMT
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Sandy Springs, GA
National Provider Identifier
1083363857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- MT013476
- Practice address
- 220 Sandy Springs Cir Ste 157B
Sandy Springs, GA 30328-3861 - Phone
- (404) 295-7040
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | MT013476 | GA | Primary |
Addresses
Primary practice location
220 Sandy Springs Cir Ste 157B
Sandy Springs, GA 30328-3861
Mailing address
220 Sandy Springs Cir Ste 157B
Sandy Springs, GA 30328-3861
Phone (404) 295-7040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT013476 | GA | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1083363857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SANDY SPRINGS CIR STE 157B",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283861",
"telephone_number": "404-295-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SANDY SPRINGS CIR STE 157B",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283861",
"telephone_number": "404-295-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ASHLI",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "GA",
"license": "MT013476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.