Victoria L Davis, CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

320 W Pike St Ste 101
Lawrenceville, GA 30046-4866

Phone

(678) 278-9244

Fax

(678) 412-1679

NPI assigned

Aug 12, 2021

Last updated

May 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• JMJ Speech & Language Solutions

  • Speech-Language Pathologist
  • Lawrenceville, GA
  • NPI 1730595356
  NPD (past)

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1760157630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W PIKE ST STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464866",
            "telephone_number": "678-278-9244",
            "fax_number": "678-412-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W PIKE ST STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464866",
            "telephone_number": "678-278-9244",
            "fax_number": "678-412-1679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12725 W Indian School Rd Ste E-101Q1",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853929520",
            "country_code": "US",
            "telephone_number": "602-456-7199",
            "fax_number": "602-742-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "credential": "CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP14345",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin Earl Davis Jr.
• Priscilla Ann Edwards Davis, CNP
• Sarah Kelley Davis, WHNP
• Shanita Davis
• Versie Elder Davis, RN,CNS
• Gabrielle Dawkins, M.D.
• Ebenezer Adeboye Dawodu, MD
• Esther Modupe Day, AGPCNP-BC
• Frank Reece Day Jr., O.D.
• Kelly Calvert Day, LICENSED SPEECH/LANG

• Speech-Language Pathologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.