Active NPI
Amy Leigh Davis, FNP-BC
- Family Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN140088
- Practice address
- 3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400 - Phone
- (706) 353-2990
- Fax
- (706) 353-2992
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN140088 | GA | Primary |
| Nurse Practitioner | 363L00000X | RN140088 | GA |
Addresses
Primary practice location
3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Mailing address
3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Phone (706) 353-2990
Other practice location 1
2151 W Spring St Ste B200
Monroe, GA 30655-3207
Phone (770) 267-0724
Other practice location 2
119 Harmony Xing Ste 1
Eatonton, GA 31024-9571
Phone (762) 220-1880
Other practice location 3
1656 Falls Rd Ste B
Toccoa, GA 30577-2411
Phone (706) 886-0392
Other practice location 4
3320 Old Jefferson Rd Bldg 700
Athens, GA 30607-1465
Phone (706) 353-2990
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130624000599 | GA | Practitioner - Nurse Practitioner | 1658510649 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Cancer and Blood Center LLC
Practice addresses (Care Compare)
3320 Old Jefferson Rd
Athens, GA 30607-1400
Phone (706) 353-2990
Hospital & facility affiliations
- St Marys Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.67 of 100
- Quality
- 82.31
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 69.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN140088 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Cancer & Blood Center LLC | Current | Accepting new patients | |
| Southern Pain and Spine Associates LLC | Past | Accepting new patients | |
| University Health Alliance | Past | Accepting new patients |
Locations
3320 Old Jefferson Rd
Ste 600
Athens, GA 30607
Phone (706) 549-4155
3320 Old Jefferson Rd
Bldg 800
Athens, GA 30607
Phone (706) 353-2290
3320 Old Jefferson Rd
Bldg 700
Athens, GA 30607
Phone (706) 224-6348
110 Mercer Pl
Commerce, GA 30529
Phone (706) 335-2302
4182 Highway 278 NE
Covington, GA 30014
Phone (678) 712-6921
119 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (762) 220-1880
355 Clear Creek Pkwy
Ste 2007
Lavonia, GA 30553
Phone (706) 356-2934
2151 W Spring St
Ste B200
Monroe, GA 30655
Phone (770) 267-0724
3991 Highway 78 W
Ste 102
Snellville, GA 30039
Phone (706) 715-2010
1656 Falls Rd
Ste B
Toccoa, GA 30577
Phone (706) 886-0392
1460 Resurgence Dr
Watkinsville, GA 30677
Phone (706) 715-2410
295 N Broad St
Winder, GA 30680
Phone (678) 963-0939
Interoperability endpoints
- https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Athens, GA
- NPI 1376682849
-
- Interventional Pain Medicine Physician
- Jasper, GA
- NPI 1093469355
-
- Hematology & Oncology Physician
- Athens, GA
- NPI 1972239440
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1417214909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD BLDG 800",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071400",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD BLDG 800",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071400",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992"
}
],
"practiceLocations": [
{
"address_1": "2151 W Spring St Ste B200",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "GA",
"postal_code": "306553207",
"country_code": "US",
"telephone_number": "770-267-0724",
"fax_number": "770-267-0718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Harmony Xing Ste 1",
"address_purpose": "LOCATION",
"city": "Eatonton",
"state": "GA",
"postal_code": "310249571",
"country_code": "US",
"telephone_number": "762-220-1880",
"fax_number": "762-220-1181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1656 Falls Rd Ste B",
"address_purpose": "LOCATION",
"city": "Toccoa",
"state": "GA",
"postal_code": "305772411",
"country_code": "US",
"telephone_number": "706-886-0392",
"fax_number": "706-886-9204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3320 Old Jefferson Rd Bldg 700",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306071465",
"country_code": "US",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "AMY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN140088",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN140088",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.