Active NPI
Christine M. Davis, ATC/OTC
- Athletic Trainer
- Atlanta, GA
National Provider Identifier
1689957276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.003748
- Practice address
- 5505 Peachtree Dunwood Road
Suite 600
Atlanta, GA 30342-0000 - Phone
- (404) 355-0743
- Fax
- (404) 355-2136
- NPI assigned
- Sep 21, 2011
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT.003748 | OH | Primary |
| Surgical Technologist | 246ZS0410X | 12-1106 | GA |
Addresses
Primary practice location
5505 Peachtree Dunwood Road
Suite 600
Atlanta, GA 30342-0000
Mailing address
2001 Peachtree Road NE
Suite 705
Atlanta, GA 30309-0000
Phone (404) 355-0743
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 |
|---|---|---|---|
| AT.003748 | OH | MD | Athletic Trainer |
| 12-1106 | GA | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1689957276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 PEACHTREE ROAD NE",
"address_2": "SUITE 705",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303090000",
"telephone_number": "404-355-0743",
"fax_number": "404-355-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 PEACHTREE DUNWOOD ROAD",
"address_2": "SUITE 600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303420000",
"telephone_number": "404-355-0743",
"fax_number": "404-355-2136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTINE",
"middle_name": "M.",
"credential": "ATC/OTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.003748",
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "GA",
"license": "12-1106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.