Active NPI
Cassandra Lewis Davis
- School Counselor
- Decatur, GA
National Provider Identifier
1235556283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 646368
- Practice address
- 3210 Kings Bay Cir
Decatur, GA 30034-7123 - Phone
- (678) 643-4397
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 646368 | GA | |
| School Counselor | 101YS0200X | 646368 | GA | Primary |
Addresses
Primary practice location
3210 Kings Bay Cir
Decatur, GA 30034-7123
Mailing address
3210 Kings Bay Cir
Decatur, GA 30034-7123
Phone (678) 643-4397
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 646368 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1235556283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 KINGS BAY CIR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300347123",
"telephone_number": "678-643-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 KINGS BAY CIR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300347123",
"telephone_number": "678-643-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CASSANDRA",
"middle_name": "LEWIS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "646368",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "646368",
"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 Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.