Amelia Rose Davis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN258181 Issued in GA

Practice address

4586 Timber Ridge Dr Ste 140
Douglasville, GA 30135-7513

Phone

(678) 813-2741

NPI assigned

Sep 25, 2023

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)

Not enrolled

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 and National Provider Directory roles.

• Center for Spine Interventions, PC

  • Interventional Pain Medicine Physician
  • Dallas, GA
  • NPI 1437407525
  NPD
• Center for Spine Interventions ASC 3, LLC

  • Ambulatory Surgical Clinic/Center
  • Acworth, GA
  • NPI 1366989741
  NPD (past)

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1487433975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PALOMINO DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301575600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4586 TIMBER RIDGE DR STE 140",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357513",
            "telephone_number": "678-813-2741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Calibre Xing NW Ste 1118",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301014104",
            "country_code": "US",
            "telephone_number": "678-813-2741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2713 Charles Hardy Pkwy Ste 222",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301579470",
            "country_code": "US",
            "telephone_number": "678-813-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMELIA",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN258181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah David, RBT
• Angela Davidson
• Abrielle Davis, MS
• Alecia Davis, BS
• Alexis Davis, RBT
• Amya Davis
• Ardeina M Davis, BS, CPS, PP
• Corelle Davis, LCSW
• Sean Germaine Davis, M.D.
• Naga Ratnakar Davuluri, M.D.

• Family Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.