MARIEL DAVIS (NPI# 1104205517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104205517 |
| Entity Type | Individual |
| Full Name | MARIEL DAVIS |
| Practice Address |
4244 Canby Ln Decatur GA 30035-2407 |
| Practice Telephone | 6155962135 |
| Mailing Telephone | 6155962135 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4244 CANBY LN |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861038127 | Anna N Cora | Case Manager/Care Coordinator | 401 14th St Se # Site10a, Decatur, AL 35601-5941 | 2019-11-21 |
| 1538728985 | Mimi Y English | Case Manager/Care Coordinator | 2553 Terrace Trl, Decatur, GA 30035-3514 | 2019-06-10 |
| 1790349017 | Cynthia Lynch Garstka | Case Manager/Care Coordinator | 605 Ansley St, Decatur, GA 30030-3611 | 2019-04-23 |
| 1538623442 | Kenneth Lee Morris | Case Manager/Care Coordinator | 4151 Memorial Dr Ste 107c, Decatur, GA 30032-1517 | 2019-01-24 |
| 1740719186 | Monetia Hollie | Case Manager/Care Coordinator | 2724 Wesley Chapel Road, #361151, Decatur, GA 30036 | 2017-06-08 |
| 1780112342 | Christine Barrett | Case Manager/Care Coordinator | 132 S Water St Ste 604, Decatur, IL 62523-1061 | 2017-05-26 |
| 1518414143 | Deanna Lynne Stinson | Case Manager/Care Coordinator | 189 Sams St, B, Decatur, GA 30030-4133 | 2016-09-01 |
| 1134451685 | Shana D Crumbough | Case Manager/Care Coordinator | 4110 Highway 31 S, Decatur, AL 35602 | 2010-02-09 |
| 1316115504 | Katrina Dinene Langston | Case Manager/Care Coordinator | 2458 Whites Mill Ln, Decatur, GA 30032-6314 | 2008-02-11 |
| 1023293404 | Rita Linch | Case Manager/Care Coordinator | 501 Mcglathery Lane, Decatur, AL 35601-6055 | 2008-01-04 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.