JESSICA DAVIS


Address: 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912
Phone: 7067213466

JESSICA DAVIS (NPI# 1700449915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700449915
Entity Type Individual
Full Name JESSICA DAVIS
Credential DO
Practice Address 1459 Laney Walker Blvd
Ae 3042
Augusta
GA 30912
Mailing Address 1083 Column Way Apt 205
Forest
VA 24551-1888
Practice Telephone 7067213466
Enumeration Date 2019-04-15
Last Update Date 2019-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 10826 GA Allopathic & Osteopathic Physicians

Other Providers JESSICA DAVIS

NPI Name Taxonomy Address Enumeration
1780216861 Jessica Nichole Davis Physical Therapist 1413 W Broadway Ave, Maryville, TN 37801-3121 2020-02-06
1629534367 Jessica Davis Homemaker 307 N Georgia Ave # 307, Cocoa, FL 32922-6222 2019-02-19
1265906549 Jessica Alexis Davis Behavioral Analyst 210 Talsrock Way Ste 3, Cary, NC 27519-1906 2019-01-19
1346758430 Jessica Nicole Davis Student in an Organized Health Care Education/Training Program 2300 8th Ave S Apt 448, Nashville, TN 37204-2475 2018-01-11
1346768272 Jessica Amiee Davis Doula 5805 E 40th Ter, Kansas City, MO 64129-1713 2017-08-30
1154845782 Jessica Lynn Davis Social Worker 530 Beacon Pkwy W Ste 401, Birmingham, AL 35209-3196 2017-07-26
1699213769 Jessica Davis Nutritionist 9404 Mayflower Ct, Laurel, MD 20723-1747 2017-02-08
1922543891 Jessica Davis Licensed Practical Nurse 1111 Oakhill St, Seffner, FL 33584-4513 2016-12-30
1427506054 Jessica Davis Nurse Practitioner 1824 Dimond Dr, Anchorage, AK 99507-1308 2016-09-12
1033584636 Jessica Renee Davis Social Worker 314 N Front St, Apt A Second Floor, Wormleysburg, PA 17043-1112 2015-12-08

Office Location

Street Address 1459 LANEY WALKER BLVD
AE 3042
City AUGUSTA
State GA
Zip Code 30912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639158900 Walter Jack Morris Dentist 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912-0002 2006-01-13
1932725694 Liniya Tauhidul Family Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-18
1740805852 Nafiz Kalam Sheikh Psychiatry & Neurology 1459 Laney Walker Blvd, Augusta, GA 30912-0001 2020-06-15
1265057426 Mallika Patel Internal Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-13
1578188728 Dhruti Prashant Diwan Anesthesiology 1459 Laney Walker Blvd, Augusta, GA 30912-3529 2020-06-13
1043835317 Jesse William Wayson Obstetrics & Gynecology 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1861017139 Mac Bohanan Psychiatry & Neurology 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1609491950 Taylor Payne Internal Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1184249443 Yasasvi Tadavarthi Internal Medicine 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912-0004 2020-06-12
1376168807 Erica Demaagd Pediatrics 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912 2020-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134745953 Molly C Shields Pediatrics Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 2020-06-17
1033734918 Lauren Wooten Smith Pediatrics Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 2020-06-16
1487211199 Ashley Elizabeth Miller Pediatrics 1146 Harper Street, Augusta, GA 30912-0001 2019-05-29
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1558824797 John-david Constantine Bruce Pediatrics Dugas Building (bg-1071) 1120 15th Street, Augusta, GA 30912-0001 2019-04-12
1306229182 Alexander James Eason Pediatrics Georgia Regents Medical Ctr, 1120 15th Street, Augusta, GA 30912-0001 2015-06-30
1184945339 Shannon Nicole Myers Pediatrics 3727 Executive Center Dr, Augusta, GA 30907-2398 2010-06-22
1801113386 Gerard Rubin Pediatrics 6 E Chestnut St Ste 310, Augusta, ME 04330-5717 2010-04-23
1013246487 William Weston IIi Pediatrics 93 Bristlecone Ct., Augusta, GA 30909-1861 2009-12-15
1225285372 Mustafa Musa Nimir Pediatrics 1120 15th St Ae-3042, Medical College of Georgia, Augusta, GA 30912-5000 2008-08-20
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30912

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Dataset Information

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.

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