Active NPI
Bethany B Davis, M.D.
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1881763001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 51782
- Practice address
- 6065 Roswell Rd Ste 820
Atlanta, GA 30328-4018 - Phone
- (470) 223-0062
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 51782 | GA | Primary |
Addresses
Primary practice location
6065 Roswell Rd Ste 820
Atlanta, GA 30328-4018
Mailing address
40 Angus TRL
Atlanta, GA 30328-3030
Phone (704) 223-0062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 8, 2014 through Oct 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51782 | GA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1881763001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ANGUS TRL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283030",
"telephone_number": "704-223-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 ROSWELL RD STE 820",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284018",
"telephone_number": "470-223-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BETHANY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2024-05-29",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "51782",
"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 May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.