Active NPI
Susan Louise Davis, RN, LMT
- Registered Nurse
- Stockbridge, GA
National Provider Identifier
1124810866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 316376
- Practice address
- 142 Country Mill LN
Stockbridge, GA 30281-4553 - Phone
- (470) 629-3685
- NPI assigned
- May 19, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 015369 | GA | |
| Registered Nurse | 163W00000X | 316376 | GA | Primary |
Addresses
Primary practice location
142 Country Mill LN
Stockbridge, GA 30281-4553
Mailing address
142 Country Mill LN
Stockbridge, GA 30281-4553
Phone (470) 629-3685
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
| License | State | Type | Specialty |
|---|---|---|---|
| 316376 | GA | MD | Registered Nurse |
| 015369 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1124810866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 COUNTRY MILL LN",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814553",
"telephone_number": "470-629-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 COUNTRY MILL LN",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814553",
"telephone_number": "470-629-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SUSAN",
"middle_name": "LOUISE",
"credential": "RN, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "015369",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "316376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.