Angela Doreen Davis

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

133 Gold Mill PL
Canton, GA 30114-4025

Phone

(703) 400-5518

NPI assigned

Nov 12, 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

Other names 1

• Angela Johnson Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inclusive Rehabilitation LLCGroup PAC ID 3476958976, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Inclusive Rehabilitation LLC

  • Speech-Language Pathologist
  • Canton, GA
  • NPI 1417525916

  GA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1992461099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 GOLD MILL PL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 GOLD MILL PL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144025",
            "telephone_number": "703-400-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "middle_name": "DOREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "JOHNSON",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marni Elizabeth Daniel, CRNA
• Natalia Dankwa, LCSW
• Sara Mullinax Darden, MMSC, PA-C
• David L Selden PC
• Megan Davidson, DMD
• Ashley Nicole Davis
• George Gregory Davis, B.S., D.C.
• Kathleen Davis, NP-C
• Rebekah Davis, RN
• Marie E Dawson, OT

• Occupational Therapist in Canton, GA
• Providers in Canton, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.