Active NPI
Yolanda Davis
- Contractor
- Atlanta, GA
National Provider Identifier
1093442410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 175 W Wieuca Rd NE Ste 210
Atlanta, GA 30342-3254 - Phone
- (678) 786-1435
- NPI assigned
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
175 W Wieuca Rd NE Ste 210
Atlanta, GA 30342-3254
Mailing address
2451 Cumberland Pkwy SE # 3622
Atlanta, GA 30339-6136
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1093442410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 CUMBERLAND PKWY SE # 3622",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W WIEUCA RD NE STE 210",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423254",
"telephone_number": "678-786-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "YOLANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"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 Aug 5, 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.