Individual provider Active NPI

Amy Leigh Davis, FNP-BC

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1417214909
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN140088 Issued in GA
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

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 0345293866, 66 clinicians

Practice addresses (Care Compare)

3320 Old Jefferson Rd
Athens, GA 30607-1400
Phone (706) 353-2990

Hospital & facility affiliations

  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329

Merit-based Incentive Payment System (MIPS)

Final score
84.67 of 100Reported as group
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

LicenseStateTypeSpecialty
RN140088GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Cancer & Blood Center LLC CurrentSince Nov 11, 2024 Accepting new patients
Southern Pain and Spine Associates LLC PastSince May 16, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.