Chavonn Done Davidson-Smith

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN195874 Issued in GA

Practice address

3000 Norwell CT
Locust Grove, GA 30248-3450

Phone

(770) 634-7470

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

Yes

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.

• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229

  GA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Sound Mind Psychiatry

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1780547943
  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2024.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1104419738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NORWELL CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483450",
            "telephone_number": "770-634-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NORWELL CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483450",
            "telephone_number": "770-634-7470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9091 Snowden River Pkwy # 1364",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210461657",
            "country_code": "US",
            "telephone_number": "301-203-7626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON-SMITH",
        "first_name": "CHAVONN",
        "middle_name": "DONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN195874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parris Montague Crain
• Justin Crumpton, BCBA
• Denna Crutchfield
• D3 Xpress Transport LLC
• Ashley Dashevsky, RDN, LD
• Lisa Davis, MA,MS,LPC
• Phantasia Davis, RN
• Sarah Dianne Decker-Zito, PTA
• Maria Dennisur
• Dentfirst, P.C.

• All providers in Locust Grove, GA
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.