CODY DAVIS (NPI# 1134754450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134754450 |
| Entity Type | Individual |
| Full Name | CODY DAVIS |
| Credential | PA-C |
| Practice Address |
242 King Avenue Suite 130 Athens GA 30606 |
| Mailing Address |
242 King Avenue Athens GA 30606 |
| Practice Telephone | 7064751870 |
| Mailing Telephone | 7064751870 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9648 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9648 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| 1174087332 | Cody Edward Davis | Specialist/Technologist | 8423 Greenway Rd, Towson, MD 21286-8706 | 2019-01-22 |
| 1497743843 | Cody W. Davis | Emergency Medicine | Rr 1 Box 40d, Ellsinore, MO 63937-9705 | 2005-10-10 |
| 1396387544 | Cody Davis | Case Manager/Care Coordinator | 500 Barfield Dr, Hastings, MI 49058-9018 | 2019-10-09 |
| 1508424920 | Cody F Davis | Physical Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2019-05-31 |
| 1518448596 | Cody John Davis | Counselor | 200 7th Ave Ste 150, Santa Cruz, CA 95062-4669 | 2018-08-27 |
| 1427554823 | Cody Lynn Davis | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-04-04 |
| 1629463674 | Cody Davis | Hospitalist | 24 Hospital Ln, Calais, ME 04619-1329 | 2015-04-06 |
| 1578985735 | Cody Lee Davis | Chiropractor | 4242 Gordon Dr, Sioux City, IA 51106-1302 | 2014-01-07 |
| 1912257536 | Cody C Davis | Physician Assistant | 1500 S Mill Ave, Tempe, AZ 85281-6699 | 2012-09-11 |
| Street Address |
242 KING AVENUE SUITE 130 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992721500 | Riikka P Mohorn | Surgery | 242 King Avenue, Suite 220, Athens, GA 30606 | 2006-07-15 |
| 1770138489 | Ashley Alkire | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-08-08 |
| 1407199474 | Jessica Latrice Mccaskill | Physician Assistant | 242 King Avenue, Suite 130, Athens, GA 30606 | 2013-03-28 |
| 1154663599 | Michael John Gelsomino | Neurological Surgery | 242 King Avenue, Suite 130, Athens, GA 30606 | 2013-03-25 |
| 1588993414 | Matthew Tyler Crim | Internal Medicine | 242 King Avenue, Suite 210, Athens, GA 30606 | 2009-12-24 |
| 1568646362 | Jason M Pfluke | Surgery | 242 King Avenue, Suite 220, Athens, GA 30606 | 2007-12-28 |
| 1598788655 | Kimberly P Walpert | Neurological Surgery | 242 King Avenue, Msb Second Floor, Athens, GA 30606-1685 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261162 | Kayla Elizabeth Moore | Physician Assistant | 1477 Cotton Hollow Rd, Athens, PA 18810-7769 | 2020-06-29 |
| 1053934844 | William Aaron Retterbush | Physician Assistant | 250 W Broad St Apt 624, Athens, GA 30601-4817 | 2020-05-27 |
| 1689219552 | Katie Rhea Collins | Physician Assistant | 2400 Denso Dr, Athens, TN 37303-7835 | 2019-11-14 |
| 1538535984 | Tina Beatty | Physician Assistant | 146 Parks Hall, Athens, OH 45701-1359 | 2015-08-19 |
| 1811325673 | Janna Leigh Baker | Physician Assistant | 1000 Hawthorne Ave Ste T, Athens, GA 30606-2168 | 2013-10-14 |
| 1639457716 | Kara Renee Whyte | Physician Assistant | 242 King Ave, Medical Services Building, 2nd Floor, Athens, GA 30606-3506 | 2011-07-24 |
| 1336367671 | Robert Kevin Chin | Physician Assistant | 711 Cook Dr Ste 100, Athens, TN 37303-3499 | 2007-04-23 |
| 1578789731 | Natasha Nicola Barker | Physician Assistant | 401 Vermillion Street, Athens, WV 24712 | 2007-04-17 |
| 1124184742 | Mara Renee Franklin | Physician Assistant | 1450 Barnett Shoals Rd Ste B, Athens, GA 30605-2748 | 2006-12-28 |
| 1750313854 | Emergency Professionals of Ohio, Inc. | Physician Assistant | 55 Hospital Drive, Athens, OH 45701-2345 | 2006-07-07 |
| Find all providers in ATHENS | ||||
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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.