Celeste Davis, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN232264 Issued in GA

Practice address

297 Cooper Rd
Loganville, GA 30052-2518

Phone

(678) 381-2630

NPI assigned

Nov 6, 2018

Last updated

Aug 4, 2020By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grayson Pediatrics, LLC

  • Pediatrics Physician
  • Loganville, GA
  • NPI 1831500370
  NPD
• Grayson Pediatrics, LLC

  • Pediatrics Physician
  • Grayson, GA
  • NPI 1083026066
  NPD (past)

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1417425513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 COOPER RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522518",
            "telephone_number": "678-381-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 COOPER RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522518",
            "telephone_number": "678-381-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CELESTE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN232264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003215265A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavis@graysonpediatrics.opdirect.net",
            "affiliation": "N",
            "endpointDescription": "Celeste Davis Grayson Pediatrics direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "297 Cooper Rd",
            "city": "Loganville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300522518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kozue Cunningham
• Berooz Daryooni
• Johanne Dastine-Coriolan, NP
• Kyleigh Grace Daugherty, M. ED. CCC-SLP
• David a Fields MD Family Care PC
• Gladys Kyrima Davis
• Jennifer Davis, CPNP-PC
• Latoya Denise Davis, LCSW
• Tolulola Dawodu
• Abbie Faith Debner

• Pediatric Nurse Practitioner in Loganville, GA
• Providers in Loganville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.