Individual provider Active NPI

Catherine Lynn Cheely-Davis, RN

  • Registered Nurse
  • Hampton, GA
National Provider Identifier
1083887160
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN118305 Issued in GA
Practice address
1331 Misty Ridge CT
Hampton, GA 30228-3394
Phone
(404) 626-3559
Fax
(678) 610-4188
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN118305 GA Primary

Addresses

Primary practice location

1331 Misty Ridge CT
Hampton, GA 30228-3394

Mailing address

1331 Misty Ridge CT
Hampton, GA 30228-3394
Phone (404) 626-3559

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN118305GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1083887160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MISTY RIDGE CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283394",
            "telephone_number": "404-626-3559",
            "fax_number": "678-610-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MISTY RIDGE CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283394",
            "telephone_number": "404-626-3559",
            "fax_number": "678-610-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEELY-DAVIS",
        "first_name": "CATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN118305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.