Active NPI
Christina Gail Davis, PTA
- Physical Therapy Assistant
- Hazlehurst, GA
National Provider Identifier
1265619142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA002077
- Practice address
- 147 S Tallahassee St
Hazlehurst, GA 31539-6466 - Phone
- (912) 375-2009
- Fax
- (912) 379-0081
- NPI assigned
- Jan 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA002077 | GA | Primary |
Addresses
Primary practice location
147 S Tallahassee St
Hazlehurst, GA 31539-6466
Mailing address
RR 2 Box 59
Nahunta, GA 31553-9617
Phone (912) 462-6060
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 |
|---|---|---|---|
| PTA002077 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1265619142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 59",
"city": "NAHUNTA",
"state": "GA",
"postal_code": "315539617",
"telephone_number": "912-462-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 S TALLAHASSEE ST",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396466",
"telephone_number": "912-375-2009",
"fax_number": "912-379-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTINA",
"middle_name": "GAIL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlehurst, GA
- CRH Physician Practices LLC (CRH Medical Group)
- CRH Physician Practices, LLC (CRH Women's Center)
- CRH Physician Practices, LLC (CRH Hazelhurst Group)
- David J. Ellis, DO, LLC
- David L Turfler MD PC
- Dehaven Healthcare, Inc.
- Robert W. Dehaven, M.S., NCC, LPC, DAPA
- Dr. Jason R Laney, PC (Laney Internal Medicine Group)
- Elizabeth Sha Duque, APRN
- DZH, Inc (Therapy Services of Georgia)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.