Active NPI
Rachel A. Davis, PA
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1922436419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007013
- Practice address
- 5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5000 - Phone
- (404) 847-9999
- Fax
- (404) 531-8466
- NPI assigned
- Oct 22, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007013 | GA | Primary |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5000
Mailing address
5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5000
Phone (404) 847-9999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003140384A | Medicaid | GA | |
| 003140550A | Medicaid | GA | |
| 003141772A | Medicaid | GA |
Other names 1
- Rachel A. Zimmerman
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007013 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1386697928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1922436419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD",
"address_2": "SUITE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000",
"telephone_number": "404-847-9999",
"fax_number": "404-531-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD",
"address_2": "SUITE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000",
"telephone_number": "404-847-9999",
"fax_number": "404-531-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RACHEL",
"middle_name": "A.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-22",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "007013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003140384A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003140550A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003141772A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "ZIMMERMAN",
"middle_name": "A.",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.