Active NPI
Doris Hill Davis, PTA
- Health Educator
- Lithonia, GA
National Provider Identifier
1316293632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- PTA001656
- Practice address
- 3197 Chaparral Way
Lithonia, GA 30038-3118 - Phone
- (770) 403-6210
- NPI assigned
- Jul 24, 2012
- Last updated
- Jul 24, 2012
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | PTA001656 | GA | Primary |
Addresses
Primary practice location
3197 Chaparral Way
Lithonia, GA 30038-3118
Mailing address
3197 Chaparral Way
Lithonia, GA 30038-3118
Phone (770) 403-6210
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 |
|---|---|---|---|
| PTA001656 | GA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1316293632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3197 CHAPARRAL WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300383118",
"telephone_number": "770-403-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3197 CHAPARRAL WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300383118",
"telephone_number": "770-403-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DORIS",
"middle_name": "HILL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "GA",
"license": "PTA001656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.