James Ross Davis, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000315 Issued in GA

Practice address

655 Jesse Jewell Pkwy SE
Gainesville
Gainesville, GA 30501-3722

Phone

(770) 539-9001

Fax

(770) 539-9217

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356336606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 LEGISLATIVE LN",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198037",
            "telephone_number": "770-540-7441",
            "fax_number": "770-539-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 JESSE JEWELL PKWY SE",
            "address_2": "GAINESVILLE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013722",
            "telephone_number": "770-539-9001",
            "fax_number": "770-539-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "000315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "000315",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Davidson, MD
• Amy T Davis, PHD
• Carrie Elizabeth Davis, FNP-BC
• Christopher M Davis
• Gary Davis III, MD
• Jennifer Davis, NP-C
• Katie Lynn Davis, ATC/L
• Kyle Stone Davis, PT, DPT
• Logoi B Davis, PA
• Margaret Alisa Davis, MD

• Athletic Trainer in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.