Jamil Eman Davis, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN188113 Issued in GA

Practice address

7574 Highway 85
Riverdale, GA 30274-3447

Phone

(770) 217-5168

Fax

(770) 284-6612

NPI assigned

Feb 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Healthcare Collaboration, IncGroup PAC ID 8820442247, 3 clinicians

Advantage Behavioral Health SystemsGroup PAC ID 1052200599, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern Healthcare Collaboration, Inc

  • Primary Care Nurse Practitioner
  • Baxley, GA
  • NPI 1750087490
  Medicare reassignment Care Compare group NPD
• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558
  Medicare reassignment Care Compare group
• Icare & Associates, LLC

  • Family Nurse Practitioner
  • Riverdale, GA
  • NPI 1205488152
  Medicare reassignment Authorized official
• D L Murray MD PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1720379696
  Medicare reassignment NPD
• Grady Memorial Hospital Corporation

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment NPD
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1336317270
  Medicare reassignment NPD
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  GA

  Medicare reassignment NPD
• Embraced Soles & Medical DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Norcross, GA
  • NPI 1780449793
  NPD Authorized official
• First Integrative Consulting Services

  • Mental Health Counselor
  • Gainesville, GA
  • NPI 1326665852
  Medicare reassignment
• Center for Intentional Wellness, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Norcross, GA
  • NPI 1780448670
  NPD
• Grady Memorial Hospital Corporation

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1386708212
  NPD

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1376882191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7574 HIGHWAY 85",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743447",
            "telephone_number": "229-395-8243",
            "fax_number": "770-284-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7574 HIGHWAY 85",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743447",
            "telephone_number": "770-217-5168",
            "fax_number": "770-284-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 Brixworth Pl NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303195314",
            "country_code": "US",
            "telephone_number": "229-395-8243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMIL",
        "middle_name": "EMAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "188113",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN188113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Lynne Damali, DC
• Daniel Redie General Dentistry
• Alicia Malinda Darby-Bishop
• Darin Kourajian DC PC
• Evan Davidson, DPT
• Kayla Davis
• Matthew Edwin Davis, M.D.
• Janet Elizabeth Dawson
• DB Chandora MDPC
• Ciara R Deaton, RN, BSN

• Psychiatric/Mental Health Nurse Practitioner in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.

Verify at the official NPI Registry.