Active NPI
Brittany Davis, MS
- Professional Counselor
- Ellenwood, GA
National Provider Identifier
1811624539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC015180
- Practice address
- 3946 Busby Mill CT
Ellenwood, GA 30294-2052 - Phone
- (404) 951-2425
- NPI assigned
- Aug 3, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC015180 | GA | Primary |
Addresses
Primary practice location
3946 Busby Mill CT
Ellenwood, GA 30294-2052
Mailing address
3946 Busby Mill CT
Ellenwood, GA 30294-2052
Phone (404) 951-2425
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015180 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1811624539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3946 BUSBY MILL CT",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942052",
"telephone_number": "404-951-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3946 BUSBY MILL CT",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942052",
"telephone_number": "404-951-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRITTANY",
"name_prefix": "Miss",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC015180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.