Ardeina M Davis, BS, CPS, PP

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3780 W County Line Rd Ste C
Douglasville, GA 30135-1164

Phone

(770) 693-5274

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ardeina M McPherson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1255030466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 ASQUITH AVE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086092",
            "telephone_number": "912-308-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 W COUNTY LINE RD STE C",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351164",
            "telephone_number": "770-693-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ARDEINA",
        "middle_name": "M",
        "credential": "BS, CPS, PP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARDEINA",
            "last_name": "MCPHERSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abrielle Davis, MS
• Alecia Davis, BS
• Alexis Davis, RBT
• Amelia Rose Davis, FNP-C
• Amya Davis
• Corelle Davis, LCSW
• Sean Germaine Davis, M.D.
• Naga Ratnakar Davuluri, M.D.
• Jennifer Jordan Dawe, NP-C
• DDF Care

• Peer Specialist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.