Individual provider Active NPI

Cheryl Davis, RN

  • Administrator Registered Nurse
  • Thomasville, GA
National Provider Identifier
1194257931
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN192694 Issued in GA
Practice address
118 S Madison St
Suite 4
Thomasville, GA 31792-5495
Phone
(229) 289-5898
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN192694 GA Primary
Home Health Registered Nurse 163WH0200X 192694 GA

Addresses

Primary practice location

118 S Madison St
Suite 4
Thomasville, GA 31792-5495

Mailing address

118 S Madison St
Suite 4
Thomasville, GA 31792-5495
Phone (229) 289-5898

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

LicenseStateTypeSpecialty
RN192694GAMDAdministrator Registered Nurse
192694GAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Career Center LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

118 S Madison St
Ste 4
Thomasville, GA 31792
Phone (229) 289-5898

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1194257931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S MADISON ST",
            "address_2": "SUITE 4",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925495",
            "telephone_number": "229-289-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MADISON ST",
            "address_2": "SUITE 4",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925495",
            "telephone_number": "229-289-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN192694",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "192694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.