Debra Davis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT011126 Issued in GA

Practice address

702 Baldwin Dr Ste a
Albany, GA 31707-4027

Phone

(229) 310-0862

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Debra Davis Professional name

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1396346169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHESTNUT STR",
            "city": "COLEMAN",
            "state": "GA",
            "postal_code": "39836",
            "telephone_number": "229-310-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BALDWIN DR STE A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317074027",
            "telephone_number": "229-310-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBRA",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "DAVIS",
            "prefix": "MISS",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Davaze Consultant LLC
• Sarah Carlton Davenport, NP-C
• Davis Health Care Services
• Davis L Kinney DC PC (MSA Chiropractic)
• Angela Culpepper Davis, R.PH.
• Derek Joseph Davis, MS, LAT, ATC
• Derik Oliver Davis, MS, LAT, ATC
• Eleanor Sharon Davis, CNM
• Jefferson U Davis, DDS, MD.
• John B Davis Jr., MD

• Massage Therapist in Albany, GA
• Providers in Albany, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.