Active NPI
Martha Davis
- Personal Care Attendant
- Fort Meade, MD
National Provider Identifier
1982150561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- BL-002344-2020
- Practice address
- 2553 Hartel St
Fort Meade, MD 20755 - Phone
- (863) 968-4852
- NPI assigned
- Sep 1, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 81-1643976 | FL | |
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | GA | ||
| Personal Care Attendant | 3747P1801X | BL-002344-2020 | GA | Primary |
Addresses
Primary practice location
2553 Hartel St
Fort Meade, MD 20755
Mailing address
8306 Holland PL
Lawrenceville, GA 30043-8650
Phone (863) 968-4852
Other names 1
- Ah'Tram Inc
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81-1643976 | FL | MD | Community Health Worker |
| BL-002344-2020 | GA | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid Results Laboratories 2 LLC | Current | 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.
-
- Clinical Medical Laboratory
- Lawrenceville, GA
- NPI 1689335820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640908800000",
"number": "1982150561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8306 HOLLAND PL",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300438650",
"telephone_number": "863-968-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2553 HARTEL ST",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "863-968-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2021-12-31",
"certification_date": "2021-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "81-1643976",
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "GA",
"license": "BL-002344-2020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AH'TRAM",
"last_name": "INC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.