Tarah Davis, OT001029

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT001029 Issued in GA

Practice address

1200 Lake Hearn Dr NE
Suite 250
Atlanta, GA 30319-1415

Phone

(404) 943-1070

Fax

(404) 943-0890

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114007580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CELEBRATION DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316370",
            "telephone_number": "404-699-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DR NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191415",
            "telephone_number": "404-943-1070",
            "fax_number": "404-943-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TARAH",
        "credential": "OT001029",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT001029",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidney Cristine Davis
• Symphony Davis
• Taijah Janel Davis, LPC
• Tamicky Davis, APRN
• Tara Choate Davis, NP
• Telsie A. Davis, PH.D.
• Terri Davis, OTR/L
• Tiffanie L Davis, LPC
• Timothy E Davis, MD
• Timothy Michael Davis, RN

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.