Davina Sara Braselton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0044136 Issued in GA

Practice address

605 S. Enota Dr.
Gainesville, GA 30501

Phone

(770) 538-0208

Fax

(770) 538-0556

NPI assigned

May 4, 2006

Last updated

Dec 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lanier Dermatology and Skin Cancer Specialists, PCGroup PAC ID 0840271235, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.21 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Lanier Dermatology & Skin Cancer Specialists, PC

  • Dermatology Physician
  • Gainesville, GA
  • NPI 1437109899
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1659329514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S. ENOTA DR.",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-538-0208",
            "fax_number": "770-538-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S. ENOTA DR.",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-538-0208",
            "fax_number": "770-538-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASELTON",
        "first_name": "DAVINA",
        "middle_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "0044136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Emmitt Branch Jr., M.D., F.A.A.N.
• Megan Branch, PT, DPT
• Brannon Pediatric Services, Inc.
• Tammy C Brannon, MS,PT
• Braselton Gainesville Emergency Department PC
• Ninoska Mercedes Bravo-Machado
• Breathe Better Allergy Asthma & Sinus Center, Inc
• Breathe Better Allergy, Asthma, and Sinus P.C.
• Marisa Christine Breen
• Martin L. Bremer, D.O.

• Physician Assistant in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.