Active NPI
Thomas A. Davis, PH.D.
- Professional Counselor
- Athens, GA
National Provider Identifier
1679626212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1470
- Practice address
- 160 Yonah Ave
Athens, GA 30601-1740 - Phone
- (706) 548-9850
- Fax
- (706) 549-9047
- NPI assigned
- Jan 18, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- 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 | 1470 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | 717 | GA |
Addresses
Primary practice location
160 Yonah Ave
Athens, GA 30601-1740
Mailing address
PO Box 48867
Athens, GA 30604-8867
Phone (706) 548-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 7, 2024 through May 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1470 | GA | MD | Professional Counselor |
| 717 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Family Enterprises, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679626212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48867",
"city": "ATHENS",
"state": "GA",
"postal_code": "306048867",
"telephone_number": "706-548-9850",
"fax_number": "706-549-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 YONAH AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011740",
"telephone_number": "706-548-9850",
"fax_number": "706-549-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "THOMAS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "1470",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "717",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.