DR. WOODLEY BERNADETTE MARDY-DAVIS (NPI# 1619188505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619188505 |
| Entity Type | Individual |
| Full Name | DR. WOODLEY BERNADETTE MARDY-DAVIS |
| Credential | M.D. |
| Practice Address |
12389 Crabapple Rd Alpharetta GA 30004-6328 |
| Practice Telephone | 4042003207 |
| Mailing Telephone | 4702991998 |
| Mailing Fax Number | 4702991898 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
59463 | GA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
059463 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 600457898 | 05 | |
| GA | CIGNA | 3951183 | 01 |
| GA | BLUE CROSS | 52207649 | 01 |
| Street Address |
12389 CRABAPPLE RD |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30004-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023124146 | Arista Ob/gyn Associates, P.C. | Obstetrics & Gynecology | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2006-08-22 |
| 1790297075 | Ashley Pernett | Nurse Practitioner | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2017-10-26 |
| 1457758450 | Advanced Ambulatory Surgery Center, LLC | Clinic/Center | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2014-11-19 |
| 1184021180 | Advanced Spin & Pain Interventions, LLC | Anesthesiology | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2014-11-19 |
| 1295805661 | Kenneth Dale Wenslow | Physician Assistant | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065823 | Rena Wilson | Neuromusculoskeletal Medicine, Sports Medicine | 3442 Francis Road Suite 130, Alpharetta, UNITED STATES 30004 | 2020-05-19 |
| 1538665963 | Pinnacle Endodontics of Crabapple, LLC | Dentist | 12250 Crabapple Road, Alpharetta, GA 30004 | 2018-04-04 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
| 1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
| 1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| Find all providers in zip 30004 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477912236 | Back Pain Relief Services & Consulting, Inc. | Pain Medicine | 515 Sessingham Ct, Alpharetta, GA 30005-8942 | 2016-02-22 |
| 1750559738 | P Michael Skaliy Md PC | Pain Medicine | 12425 Morris Road, Ste A, Alpharetta, GA 30005 | 2008-02-13 |
| 1770662298 | Peter Michael Skaliy | Pain Medicine | 12425 Morris Rd, Alpharetta, GA 30005-4137 | 2006-11-03 |
| 1922592641 | Pain Physicians of Atlanta LLC | Pain Medicine | 3333 Old Milton Pkwy Ste 400, Alpharetta, GA 30005 | 2018-06-16 |
| 1801007992 | Sandy Springs Medical Center, LLC | Pain Medicine | 11877 Douglas Rd, Suite 102-271, Alpharetta, GA 30005-4325 | 2007-05-24 |
| 1710198809 | Spine Centers of Georgia, LLC | Pain Medicine | 11877 Douglas Rd, Suite 102-271, Alpharetta, GA 30005-4325 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302998 | Apollo Spine and Pain Center | Pain Medicine | 4415 Front Nine Dr, Cumming, GA 30041-6063 | 2020-09-23 |
| 1235756792 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2100 Central Ave Ste 6, Augusta, GA 30904-6709 | 2020-07-01 |
| 1902433147 | Sun Pain Institute LLC | Pain Medicine | 836 E 65th St Ste 38, Savannah, GA 31405-4495 | 2020-03-26 |
| 1679107338 | Atlanta Interventional Pain Management, LLC | Pain Medicine | 13190 Highway 92 Ste 120, Woodstock, GA 30188-4406 | 2020-03-02 |
| 1578193355 | Regenerative Spine and Pain Specialists | Pain Medicine | 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 | 2020-01-22 |
| 1437790839 | Specialty Spine and Pain, PC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste D, Gainesville, GA 30501-3874 | 2019-10-07 |
| 1154962165 | Specialty Spine and Pain, PC | Pain Medicine | 2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 | 2019-10-01 |
| 1659912665 | Specialty Spine and Pain, PC | Pain Medicine | 5005a Lanier Islands Pkwy Ste 100, Buford, GA 30518-1802 | 2019-10-01 |
| 1114578515 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 | 2019-09-26 |
| 1477106771 | Spine Center of Southeast Georgia LLC | Pain Medicine | 52a Lindsey Lane, Kingsland, GA 31548-6855 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30004 |
Please comment or provide details below to improve the information on DR. WOODLEY BERNADETTE MARDY-DAVIS.
| 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.