Individual provider Active NPI

Davonna Marie Cola

  • Athletic Trainer
  • Woodstock, GA
National Provider Identifier
1144747551
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT003498 Issued in GA
Practice address
415 Norton Xing
Woodstock, GA 30188-7822
Phone
(303) 803-0328
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT003498 GA Primary

Addresses

Primary practice location

415 Norton Xing
Woodstock, GA 30188-7822

Mailing address

45 Stonesthrow LN
Newnan, GA 30265-6080

Other practice location 1

1817 Woodbrook Circle
A
Alabaster, AL 35007
Phone (303) 803-0328

Other practice location 2

100 Calera Eagle Dr
Calera, AL 35040-6702
Phone (303) 803-0328

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

State licenses

LicenseStateTypeSpecialty
AT003498GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1144747551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 STONESTHROW LN",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NORTON XING",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887822",
            "telephone_number": "303-803-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1817 Woodbrook Circle",
            "address_2": "A",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "35007",
            "country_code": "US",
            "telephone_number": "303-803-0328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Calera Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Calera",
            "state": "AL",
            "postal_code": "350406702",
            "country_code": "US",
            "telephone_number": "303-803-0328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLA",
        "first_name": "DAVONNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.