Active NPI
Shirley Ann Davis, RN
- Registered Nurse
- Lithonia, GA
National Provider Identifier
1134417397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN101602
- Practice address
- 5959 Fairington Rd
Apt 17B
Lithonia, GA 30038-1708 - Phone
- (678) 908-2037
- NPI assigned
- Jul 20, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN101602 | GA | Primary |
Addresses
Primary practice location
5959 Fairington Rd
Apt 17B
Lithonia, GA 30038-1708
Mailing address
5959 Fairington Rd
Apt 17B
Lithonia, GA 30038-1708
Phone (678) 908-2037
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 |
|---|---|---|---|
| RN101602 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1134417397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 FAIRINGTON RD",
"address_2": "APT 17B",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300381708",
"telephone_number": "678-908-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 FAIRINGTON RD",
"address_2": "APT 17B",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300381708",
"telephone_number": "678-908-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN101602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.