Organization Active NPI

Mr Right Reverend Gregory Karl Davis

  • Voluntary or Charitable Agency
  • Atlanta, GA
National Provider Identifier
1710387691
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
MR RIGHT REVEREND GREGORY KARL DAVIS
Practice address
1075 Peachtree St NE
Suite 3650
Atlanta, GA 30309-3912
Phone
(404) 965-3974
Fax
(404) 965-3874
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mr. RT Reverend Gregory Karl Davis
Title
Bishop
Phone
(404) 965-3974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1075 Peachtree St NE
Suite 3650
Atlanta, GA 30309-3912

Mailing address

1075 Peachtree St NE
Suite 3650
Atlanta, GA 30309-3912
Phone (404) 965-3974

National Provider Directory

National Provider Directory

Locations

1075 Peachtree St NE
Ste 3650
Atlanta, GA 30309
Phone (404) 965-3899

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1710387691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 PEACHTREE ST NE",
            "address_2": "SUITE 3650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093912",
            "telephone_number": "404-965-3974",
            "fax_number": "404-965-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 PEACHTREE ST NE",
            "address_2": "SUITE 3650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093912",
            "telephone_number": "404-965-3974",
            "fax_number": "404-965-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR RIGHT REVEREND GREGORY KARL DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RT REVEREND GREGORY",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "BISHOP",
        "authorized_official_telephone_number": "404-965-3974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.