Individual provider Active NPI

Rebecca Lynn Davis, FNP

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1376243246
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN238422 Issued in GA
Practice address
3660 Howell Ferry Rd
Duluth, GA 30096-3178
Phone
(706) 621-9147
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN238422 GA Primary

Addresses

Primary practice location

3660 Howell Ferry Rd
Duluth, GA 30096-3178

Mailing address

3660 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (770) 670-4640

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726003929 GA Practitioner - Nurse Practitioner 9133580988 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians
Ascend Medical Georgia II PCGroup PAC ID 0547657181, 16 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

3560 Lenox Rd NE
Suite 1230
Atlanta, GA 30326-4335
Phone (888) 250-5708

3660 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (888) 250-5708

8256 Main St
Woodstock, GA 30188-5047
Phone (404) 882-3765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Biologics LLC CurrentSince Jul 16, 2024 Accepting new patients
Privia Medical Group of Georgia LLC General Practice CurrentSince Jun 12, 2023 Accepting new patients
Ascend Medical Georgia II PC CurrentSince Apr 1, 2025 Accepting new patients
Ascend Medical Georgia PC CurrentSince Jan 1, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jun 12, 2023 Accepting new patients
Regional Healthcare Group LLC CurrentSince Jul 16, 2024 Accepting new patients

Locations

130 Hawthorne Park
Athens, GA 30606
Phone (706) 227-2700

3560 Lenox Rd NE
Ste 1230
Atlanta, GA 30326
Phone (678) 500-8010

619 Rankin St NE
Atlanta, GA 30308
Phone (404) 874-3102

3660 Howell Ferry Rd
#B
Duluth, GA 30096
Phone (770) 596-9144

3660 Howell Ferry Rd
Duluth, GA 30096
Phone (770) 363-7013

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

8256 Main St
Woodstock, GA 30188
Phone (404) 882-3765

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebecca.davis.1@30437.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1376243246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 HOWELL FERRY RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963178",
            "telephone_number": "770-670-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 HOWELL FERRY RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963178",
            "telephone_number": "706-621-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN238422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.