Active NPI
Katrina Davis Chambless, OTR/L
- Pediatric Occupational Therapist
- Dawson, GA
National Provider Identifier
1700879889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 00001721
- Practice address
- 200 New Hope Rd
Dawson, GA 39842-4829 - Phone
- (229) 869-2552
- Fax
- (229) 995-3063
- NPI assigned
- Aug 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 00001721 | GA | Primary |
Addresses
Primary practice location
200 New Hope Rd
Dawson, GA 39842-4829
Mailing address
200 New Hope Rd
Dawson, GA 39842-4829
Phone (229) 869-2552
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 |
|---|---|---|---|
| 00001721 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700879889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEW HOPE RD",
"city": "DAWSON",
"state": "GA",
"postal_code": "398424829",
"telephone_number": "229-869-2552",
"fax_number": "229-995-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NEW HOPE RD",
"city": "DAWSON",
"state": "GA",
"postal_code": "398424829",
"telephone_number": "229-869-2552",
"fax_number": "229-995-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBLESS",
"first_name": "KATRINA",
"middle_name": "DAVIS",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "00001721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dawson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.