Active NPI
Tamika A Davis, NP
- Family Nurse Practitioner
- Snellville, GA
National Provider Identifier
1942347372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 145041
- Practice address
- 812 Grassmeade Way
Snellville, GA 30078-5694 - Phone
- (404) 296-7133
- Fax
- (404) 296-7211
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 145041 | GA | Primary |
Addresses
Primary practice location
812 Grassmeade Way
Snellville, GA 30078-5694
Mailing address
812 Grassmeade Way
Snellville, GA 30078-5694
Phone (404) 296-7133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820705363 | Medicaid | GA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145041 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1942347372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 GRASSMEADE WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785694",
"telephone_number": "404-296-7133",
"fax_number": "404-296-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 GRASSMEADE WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785694",
"telephone_number": "404-296-7133",
"fax_number": "404-296-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TAMIKA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "145041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "820705363",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.