Active NPI
Emma J Whittaker, CERTIFIED NURSING AS
- Nurse's Aide
- Stone MTN, GA
National Provider Identifier
1992912125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CN0028865067
- Practice address
- 5092 Leland Drive
Stone MTN, GA 30083 - Phone
- (770) 879-9472
- NPI assigned
- May 17, 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CN0028865067 | GA | Primary |
Addresses
Primary practice location
5092 Leland Drive
Stone MTN, GA 30083
Mailing address
PO Box 93035
5092 Leland Drive
Atlanta, GA 30377
Phone (770) 879-9472
Other names 1
- Emma J Peterson Davis
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
- Credentials
- Associate of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN0028865067 | GA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992912125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93035",
"address_2": "5092 LELAND DRIVE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30377",
"telephone_number": "770-879-9472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5092 LELAND DRIVE",
"city": "STONE MTN",
"state": "GA",
"postal_code": "30083",
"telephone_number": "770-879-9472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTAKER",
"first_name": "EMMA",
"middle_name": "J",
"credential": "CERTIFIED NURSING AS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "CN0028865067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "PETERSON DAVIS",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stone MTN, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.