Laura Elizabeth Davidson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

028960 Issued in GA

Practice address

5019 Lavista Rd
Tucker, GA 30084-3541

Phone

(678) 534-0452

Fax

(678) 534-1534

NPI assigned

Jun 30, 2006

Last updated

Nov 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1407885833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843541",
            "telephone_number": "678-534-0452",
            "fax_number": "678-534-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843541",
            "telephone_number": "678-534-0452",
            "fax_number": "678-534-1534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4228 First Ave",
            "address_2": "SUITE 1",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300844426",
            "country_code": "US",
            "telephone_number": "770-414-5715",
            "fax_number": "770-414-8699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "028960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minh Thu Nguyen Dang
• Kara Danielczuk, BCBA
• Karen W Darrow, SLP
• Mollye Daughtry, MOLLYE DAUGHTRY
• Chelsey Nicole Davidson, LCSW
• Sarah Davidson, M.S., CCC-SLP
• Alison L Davis, SLP
• Cetara Davis, LPC
• James A Davis Jr., DMD
• Kimberly Davis

• Internal Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.