Individual provider Active NPI

James Wilson Davis Jr., M.D., F.A.C.S.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1225050750
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031901 Issued in GA
Practice address
993 D Johnson Ferry Rd
Suite 470
Atlanta, GA 30342-1687
Phone
(404) 252-0301
Fax
(404) 255-3398
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 031901 GA Primary

Addresses

Primary practice location

993 D Johnson Ferry Rd
Suite 470
Atlanta, GA 30342-1687

Mailing address

993 D Johnson Ferry Rd
Suite 470
Atlanta, GA 30342-1687
Phone (404) 252-0301

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031901GAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225050750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 D JOHNSON FERRY RD",
            "address_2": "SUITE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421687",
            "telephone_number": "404-252-0301",
            "fax_number": "404-255-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 D JOHNSON FERRY RD",
            "address_2": "SUITE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421687",
            "telephone_number": "404-252-0301",
            "fax_number": "404-255-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "WILSON",
        "name_suffix": "Jr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "031901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.