Individual provider Active NPI

Agena Renee Davenport-Nicholson, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1710140330
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
67408 Issued in GA
Practice address
550 Peachtree St NE
Mot 8TH Floor
Atlanta, GA 30308-2208
Phone
(404) 727-8600
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1026413 MA
Obstetrics & Gynecology Physician 207V00000X 67408 GA Primary

Addresses

Primary practice location

550 Peachtree St NE
Mot 8TH Floor
Atlanta, GA 30308-2208

Mailing address

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone (404) 727-8600

Other practice location 1

850 Harrison Avenue, FL 4
Yawkey Bldg
Boston, MA 02118
Phone (617) 414-2000

Other names 1

  • Agena Davenport Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120724000975 GA Practitioner - Obstetrics/Gynecology 8426214107 Reassigns benefits to 3 organizations
I20260414001512 MA Practitioner - Obstetrics/Gynecology 8426214107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

960 Massachusetts Ave
Suite 2
Boston, MA 02118-2620

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67408GAMDObstetrics & Gynecology Physician
1026413MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2012 Accepting new patients
DHP of Piedmont PC Obstetrics & Gynecology CurrentSince Nov 17, 2025 Accepting new patients
Emory Medical Care Foundation Inc Obstetrics & Gynecology Current Accepting new patients
The Emory Clinic Inc CurrentSince Jul 1, 2012 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2012 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

550 Peachtree St NE
Fl 8
Atlanta, GA 30308
Phone (404) 686-5402

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

Interoperability endpoints

  • Direct secure messaging: adavenportnicholson20299@direct.emory.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1710140330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082212",
            "telephone_number": "404-727-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "MOT 8TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-727-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Harrison Avenue, FL 4",
            "address_2": "Yawkey Bldg",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-414-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT-NICHOLSON",
        "first_name": "AGENA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "1026413",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "67408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGENA",
            "last_name": "DAVENPORT",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.