Active NPI
Timothy Michael Davis, RN
- Registered Nurse
- Atlanta, GA
National Provider Identifier
1346127065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN334940
- Practice address
- 550 Peachtree St NE
Atlanta, GA 30308-2212 - Phone
- (404) 686-4411
- NPI assigned
- Aug 18, 2025
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN334940 | GA | |
| Wound Care Registered Nurse | 163WW0000X | RN334940 | GA | |
| Orthopedic Registered Nurse | 163WX0800X | RN334940 | GA | |
| Ostomy Care Registered Nurse | 163WX1500X | RN334940 | GA | |
| Registered Nurse | 163W00000X | RN334940 | GA | Primary |
| Intermediate Emergency Medical Technician | 146M00000X | I043820 | GA | |
| Technician/Technologist | 156F00000X | |||
| Neuroscience Registered Nurse | 163WN0800X | RN334940 | GA | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN334940 | GA |
Addresses
Primary practice location
550 Peachtree St NE
Atlanta, GA 30308-2212
Mailing address
4519 Hickory Grove Dr NW
Acworth, GA 30102-3596
Phone (404) 384-0160
Other practice location 1
35 Collier Rd NW Ste L106
Atlanta, GA 30309-1613
Phone (404) 605-3580
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I043820 | GA | MD | Intermediate Emergency Medical Technician |
| RN334940 | GA | MD | Ostomy Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1346127065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 HICKORY GROVE DR NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301023596",
"telephone_number": "404-384-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "404-686-4411"
}
],
"practiceLocations": [
{
"address_1": "35 Collier Rd NW Ste L106",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091613",
"country_code": "US",
"telephone_number": "404-605-3580",
"fax_number": "404-564-5998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "TIMOTHY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "GA",
"license": "RN334940",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "GA",
"license": "RN334940",
"primary": false
},
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "GA",
"license": "RN334940",
"primary": false
},
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "GA",
"license": "RN334940",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN334940",
"primary": true
},
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "GA",
"license": "I043820",
"primary": false
},
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WN0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neuroscience",
"state": "GA",
"license": "RN334940",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "GA",
"license": "RN334940",
"primary": false
}
],
"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 Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.