Mendy Deandra Davis, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06600 Issued in GA

Practice address

6175 Old National Hwy Ste 430
College Park, GA 30349-4470

Phone

(678) 519-3472

Fax

(678) 519-3579

NPI assigned

Oct 14, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Twisted Spine Rehabilitation LLC

  • Chiropractor
  • College Park, GA
  • NPI 1639927510
  NPD Authorized official

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1184959801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 OLD NATIONAL HWY STE 430",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494470",
            "telephone_number": "678-519-3472",
            "fax_number": "678-519-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 OLD NATIONAL HWY STE 430",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494470",
            "telephone_number": "678-519-3472",
            "fax_number": "678-519-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MENDY",
        "middle_name": "DEANDRA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "06600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Crenshaw
• Shianna Cruz, LAPC
• Nettie Faye Culver, PH.D.
• D.R.E.a.M Therapuetic Solutions, LLC
• Danielle Dautrieve, RN
• Nicole Patrich Davis, LPC, NCC
• Mary Dearborn, DC
• Emma Sundayma Dee
• Defying the Odds, Inc
• Pamela Deramus Heard

• Chiropractor in College Park, GA
• Providers in College Park, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.