Active NPI
Davionne Genai Walker, MS, ATC, LAT
- Athletic Trainer
- Flowery Branch, GA
National Provider Identifier
1639815103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT004092
- Practice address
- 5425 Aloha Way
Flowery Branch, GA 30542-2818 - Phone
- (470) 248-2296
- NPI assigned
- May 9, 2022
- 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 |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | AT004092 | GA | |
| Athletic Trainer | 2255A2300X | AT004092 | GA | Primary |
Addresses
Primary practice location
5425 Aloha Way
Flowery Branch, GA 30542-2818
Mailing address
138 Cotton Tail LN
Villa Rica, GA 30180-7270
Phone (281) 814-0341
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT004092 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1639815103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 COTTON TAIL LN",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301807270",
"telephone_number": "281-814-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 ALOHA WAY",
"city": "FLOWERY BRANCH",
"state": "GA",
"postal_code": "305422818",
"telephone_number": "470-248-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "DAVIONNE",
"middle_name": "GENAI",
"name_prefix": "Ms.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "GA",
"license": "AT004092",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT004092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowery Branch, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.