MELISSA M DAVIDSON (NPI# 1578517876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578517876 |
| Entity Type | Individual |
| Full Name | MELISSA M DAVIDSON |
| Credential | PA |
| Practice Address |
4800 Olde Towne Pkwy Ste 150a Marietta GA 30068-4357 |
| Mailing Address |
Po Box 2968 Kennesaw GA 30156-9117 |
| Practice Telephone | 7705091025 |
| Practice Fax Number | 7705091884 |
| Mailing Telephone | 7707790015 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002192 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
002192 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100001575 | 05 | |
| GA | WELLCARE | 333457 | 01 |
| GA | 100001575C | 05 | |
| GA | AMERIGROUP | 10038125 | 01 |
| GA | 100001575B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676137 | Melissa Davidson | Social Worker | 13211 Nw 8th St, Miami, FL 33182-2252 | 2019-06-04 |
| 1427509835 | Melissa Davidson X | Counselor | 6131 66th Ave, #21, Sacramento, CA 95823-2613 | 2016-10-20 |
| 1508165523 | Melissa Ann Davidson | Registered Nurse | 86 Granite St, Brooklyn, NY 11207-1618 | 2011-03-16 |
| 1902350473 | Melissa Brooke Davidson | Social Worker | 2701 17th St, Rock Island, IL 61254-5351 | 2016-08-12 |
| 1043613656 | Melissa B Davidson | Registered Nurse | 207 Sparks Ave, Suite 403, Jeffersonville, IN 47130-3739 | 2014-09-28 |
| 1497006944 | Melissa Anne Davidson | Registered Nurse | 120 International Pkwy, Suite 220, Lake Mary, FL 32746-5031 | 2012-09-24 |
| 1336465012 | Melissa Ann Davidson | Counselor | 1515 24th St, Richmond, CA 94806-4505 | 2010-04-20 |
| 1770818668 | Melissa Dawn Davidson | Occupational Therapist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2009-10-09 |
| 1871757013 | Melissa Davidson | Dietitian, Registered | 2915 E Madison St, Suite 200, Seattle, WA 98112-4265 | 2008-07-16 |
| 1184831646 | Melissa Davidson | Nurse's Aide | 261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177 | 2007-05-16 |
| Street Address |
4800 OLDE TOWNE PKWY STE 150A |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779342 | Thomas A Collentine | Emergency Medicine | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2006-02-14 |
| 1538701263 | Allison Heather Miller | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2019-10-15 |
| 1225484165 | Esther Barnes Klein | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2016-05-10 |
| 1235516303 | Meredith Stauch | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2015-04-28 |
| 1154750545 | Tonya Gipson | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2013-11-06 |
| 1568714061 | Amanda Ann Choi | Physician Assistant | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2012-10-08 |
| 1043416662 | Sandra Lamb | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2007-06-21 |
| 1770682890 | Carole Felser | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2006-09-22 |
| 1427018068 | Pamela L Asadi | Physician Assistant | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| 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 |
|---|---|---|---|---|
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1902416035 | Courtney Taylor Warfel | Physician Assistant | 4561 Trickum Rd Ne, Marietta, GA 30066-1364 | 2020-08-04 |
| 1750914867 | Julea Grace Radford | Physician Assistant | 2421 Shiloh Dr Sw, Marietta, GA 30064-4257 | 2020-02-17 |
| 1447880984 | Madison Alice Dooley | Physician Assistant | 3084 Moss Stone Ln, Marietta, GA 30064-6415 | 2020-01-23 |
| 1538704820 | Spencer David Wenzel | Physician Assistant | 919 Rosedale Dr, Marietta, GA 30066-5431 | 2019-11-11 |
| 1578044046 | Michelle Han | Physician Assistant | 2520 Windy Hill Rd Se Ste 301, Marietta, GA 30067-8695 | 2018-08-23 |
| 1932624434 | David Johann Hoover | Physician Assistant | 400 Matthew St Ste 208, Marietta, OH 45750-1656 | 2017-08-07 |
| 1174059877 | Thomas Ryan Cooke | Physician Assistant | 2169 Freydale Rd Se, Marietta, GA 30067-7070 | 2017-05-02 |
| 1790168284 | Alissa R. Mcgee | Physician Assistant | 790 Church Street, Suite 335, Marietta, GA 30060-7282 | 2015-07-02 |
| 1063832749 | Patricia Chu Mulder | Physician Assistant | 2639 Morgan Lake Dr Ne, Marietta, GA 30066-5611 | 2014-04-22 |
| Find all providers in MARIETTA | ||||
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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.