Active NPI
Linda S Davis, NP
- Women's Health Nurse Practitioner
- Marietta, GA
National Provider Identifier
1144299595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN040596
- Practice address
- 1650 County Services Pkwy SW
Marietta, GA 30008-4010 - Phone
- (770) 514-2361
- Fax
- (770) 514-2811
- NPI assigned
- Mar 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN040596 | GA | Primary |
Addresses
Primary practice location
1650 County Services Pkwy SW
Marietta, GA 30008-4010
Mailing address
1650 County Services Pkwy SW
Marietta, GA 30008-4010
Phone (770) 514-2361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00823457A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144299595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COUNTY SERVICES PKWY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300084010",
"telephone_number": "770-514-2361",
"fax_number": "770-514-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COUNTY SERVICES PKWY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300084010",
"telephone_number": "770-514-2361",
"fax_number": "770-514-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LINDA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN040596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00823457A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- 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.