SHELLY MARIE DAVIDOVICH (NPI# 1225479058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225479058 |
| Entity Type | Individual |
| Full Name | SHELLY MARIE DAVIDOVICH |
| Other Name | SHELLY MARIE WASIELEWSKI |
| Credential | OTR/L, CPAM |
| Practice Address |
1200 Northside Forsyth Dr Cumming GA 30041-7659 |
| Practice Telephone | 7708443200 |
| Mailing Telephone | 7708443200 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT006418 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT13549 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1200 NORTHSIDE FORSYTH DR |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055482 | Michael C. Sergeant | Family Medicine | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2005-07-06 |
| 1366053431 | Jeri Wells Lloyd | Nurse Practitioner | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-08-12 |
| 1003434093 | Sarah Garvin | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-07-07 |
| 1194345843 | Sarah Murray | Registered Nurse | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-04-23 |
| 1154950905 | Macy Elizabeth Fortner | Registered Nurse | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-04-03 |
| 1952940801 | Lynn Marie Mincey | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-12-24 |
| 1700425642 | Lisa Hooker | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-12-23 |
| 1124669619 | Lakeda-naita Downer | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-10-05 |
| 1235789538 | Lorena Calderon | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-09-18 |
| 1134774466 | Angelina Cho | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326396136 | North Georgia Hand Therapy, LLC | Occupational Therapist | 765 Peachtree Pkwy, Suite 2, Cumming, GA 30041-9522 | 2012-08-28 |
| 1467917054 | Jacob Edward Paquet | Occupational Therapist | 100 Mountain View Dr Ste 100, Cumming, GA 30040-2434 | 2019-02-07 |
| 1376712760 | Lisa Marie Mohesky | Occupational Therapist | 1100 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-6012 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727506 | Sherry Easton Johnson | Occupational Therapist | 3850 Pleasant Hill Rd Unit 1, Duluth, GA 30096-4807 | 2019-02-26 |
| 1801387907 | Joseph Edward Shaw IIi | Occupational Therapist | 655 Molly Ln Ste 4, Woodstock, GA 30189-6503 | 2018-05-23 |
| 1821538216 | Ariana Madrid | Occupational Therapist | 2061 Peachtree Rd Ne Ste 450, Atlanta, GA 30309-1445 | 2017-03-03 |
| 1669915443 | Maria Isabel Posada | Occupational Therapist | 1285 Hembree Rd Ste 200, Roswell, GA 30076-5720 | 2016-11-28 |
| 1386031656 | Rachel Chariton | Occupational Therapist | 2300a Manchester Expy Ste 101b, Columbus, GA 31904-6812 | 2015-04-23 |
| 1356783757 | Hand Therapy Services, Inc. | Occupational Therapist | 5 Medical Dr Ne, Cartersville, GA 30121-8003 | 2013-07-25 |
| 1164765939 | Phyllis Nessell Denton | Occupational Therapist | 1851 Shoreline Trce, Grayson, GA 30017-1166 | 2013-03-31 |
| 1568746568 | Donna Hall-rosenthal | Occupational Therapist | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2011-10-10 |
| 1770746729 | Alexis Ventimglia Najarro | Occupational Therapist | 2061 Peachtree Road, Suite 500, Atlanta, GA 30309 | 2008-07-09 |
| 1932306305 | Holley Hand Therapy, Inc. | Occupational Therapist | 140 Vann St Ne Ste 430, Marietta, GA 30060-7297 | 2007-06-29 |
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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.