Annissia C. Davis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6497 Issued in GA

Practice address

7162 Lone Oak Way
Lithonia, GA 30058-8291

Phone

(404) 248-0415

Fax

(404) 248-0422

NPI assigned

Dec 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Families Matter Therapies, LLC

  • Speech-Language Pathologist
  • Lithonia, GA
  • NPI 1326352402
  NPD
• Wester Medical Solutions and Technologies, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Lithonia, GA
  • NPI 1629642228
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1194880161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7162 LONE OAK WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588291",
            "telephone_number": "404-248-0415",
            "fax_number": "404-248-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7162 LONE OAK WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588291",
            "telephone_number": "404-248-0415",
            "fax_number": "404-248-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNISSIA",
        "middle_name": "C.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276083286A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichola Daley, LPC
• Shawn David Daniel, PT, DPT
• Darling Suites LLC
• Kizzel David
• Anderlon Davis
• Denise Davis
• Devoira Davis
• Doris Hill Davis, PTA
• Evonda Davis
• Jordan Alliah Davis, PT, DPT

• Speech-Language Pathologist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.