Jessica Davidson, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

230 Issued in GA

Practice address

1100 Northside Forsyth Dr
Cumming, GA 30041-6012

Phone

(404) 851-6284

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1982363719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421740",
            "telephone_number": "404-851-6284",
            "fax_number": "404-303-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE FORSYTH DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416012",
            "telephone_number": "404-851-6284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Johnson Fy Rd NE Ste 350",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421740",
            "country_code": "US",
            "telephone_number": "404-851-6284",
            "fax_number": "404-303-3873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JESSICA",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "GA",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Girija Sankar Das, MD
• Allison Nicole Dauberger, NP
• Angela Michelle Daugherty Fogel, DC
• Daulton E Todd Jr MD PC
• Shelly Marie Davidovich, OTR/L, CPAM
• Macy Davidson
• Troy D Davidson, DDS
• Lisette Marie Davila, DPT
• Chelsea Davis, CLC, CLD (DV)
• Christopher Michael Davis, FNP-C

• Genetic Counselor (M.S.) in Cumming, GA
• Providers in Cumming, GA by specialty
• Genetic Counselor (M.S.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.