Active NPI
Sarah Louise Davis, NP
- Women's Health Nurse Practitioner
- Decatur, GA
National Provider Identifier
1194059691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN181221
- Practice address
- 315 Winn Way
Decatur, GA 30030-2111 - Phone
- (404) 299-9724
- Fax
- (404) 299-0382
- NPI assigned
- Sep 30, 2009
- 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 | RN181221 | GA | Primary |
Addresses
Primary practice location
315 Winn Way
Decatur, GA 30030-2111
Mailing address
449 Pleasant Hill Rd NW
Ste 200
Lilburn, GA 30047-2770
Phone (404) 299-9724
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN181221 | GA | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- sarah.davis@ago.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1194059691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 PLEASANT HILL RD NW",
"address_2": "STE 200",
"city": "LILBURN",
"state": "GA",
"postal_code": "300472770",
"telephone_number": "404-299-9724",
"fax_number": "404-299-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302111",
"telephone_number": "404-299-9724",
"fax_number": "404-299-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SARAH",
"middle_name": "LOUISE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN181221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.