Active NPI
Rudolph Alexander Davis, MD, MPH
- Anesthesiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 92693
- Practice address
- 720 Westview Dr SW
Atlanta, GA 30310-1458 - Phone
- (404) 756-1368
- NPI assigned
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 92693 | GA | Primary |
Addresses
Primary practice location
720 Westview Dr SW
Atlanta, GA 30310-1458
Mailing address
537 Iroquois Dr
Birmingham, AL 35214-3722
Phone (205) 317-8437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Miami Medical College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mak Anesthesia Holdings LLC | Anesthesiology | Current | Accepting new patients |
| Piedmont Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Omega Physician Practice LLC | Anesthesiology | Current | Accepting new patients |
| Georgia Group Services, LLC | Anesthesiology | Current | Accepting new patients |
| Georgia Group Services, LLC | Anesthesiology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Mak Anesthesia Georgia, LLC | Anesthesiology | Current | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1300 Ridenour Blvd NW
Ste 300
Kennesaw, GA 30152
Phone (770) 693-0810
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
1360 Upper Hembree Rd
Ste 202
Roswell, GA 30076
Phone (404) 256-7532
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507
2131 Fountain Dr
Snellville, GA 30078
Phone (770) 979-8200
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Rome, GA
- NPI 1093947236
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1609390103
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1013658467
-
- Anesthesiology Physician
- Cedartown, GA
- NPI 1952704942
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1275038408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 IROQUOIS DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352143722",
"telephone_number": "205-317-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WESTVIEW DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101458",
"telephone_number": "404-756-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RUDOLPH",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "92693",
"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 Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.