Tara Choate Davis, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN155231 Issued in GA

Practice address

5901 Peachtree Dunwoody Rd NE
Suite B-420
Atlanta, GA 30328-5382

Phone

(404) 252-9751

Fax

(678) 990-5763

NPI assigned

Jan 25, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1962472613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B-420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "404-252-9751",
            "fax_number": "678-990-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B-420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "404-252-9751",
            "fax_number": "678-990-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TARA",
        "middle_name": "CHOATE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "GA",
            "license": "RN155231",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN155231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787004190E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787004190B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787004190A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Robertson Davis, CNP
• Sidney Cristine Davis
• Symphony Davis
• Taijah Janel Davis, LPC
• Tamicky Davis, APRN
• Tarah Davis, OT001029
• Telsie A. Davis, PH.D.
• Terri Davis, OTR/L
• Tiffanie L Davis, LPC
• Timothy E Davis, MD

• Pediatric Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.