Active NPI
Anna Davis, LPC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1447761879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011932
- Practice address
- 4939 Lower Roswell Rd Ste 201
Marietta, GA 30068-4338 - Phone
- (770) 578-1519
- NPI assigned
- Oct 12, 2017
- Last updated
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011932 | Primary | |
| Professional Counselor | 101YP2500X | APC006071 | GA |
Addresses
Primary practice location
4939 Lower Roswell Rd Ste 201
Marietta, GA 30068-4338
Mailing address
365 Pine Forest Rd
Atlanta, GA 30342-2759
Other names 1
- Anna Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC006071 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1447761879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 PINE FOREST RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303422759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4939 LOWER ROSWELL RD STE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684338",
"telephone_number": "770-578-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANNA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "LPC011932",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC006071",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "ANDERSON",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.