DR. SUSAN F DAVENPORT (NPI# 1760447585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760447585 |
| Entity Type | Individual |
| Full Name | DR. SUSAN F DAVENPORT |
| Credential | PHD |
| Practice Address |
121 Carl Vinson Parkway Warner Robins GA 31088 |
| Practice Telephone | 4789222365 |
| Practice Fax Number | 4789221778 |
| Mailing Telephone | 4789222365 |
| Mailing Fax Number | 4789221778 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2010-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1969 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000693448A | 05 | |
| BCBS | 572913 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053656371 | Susan Elizabeth Davenport | Nurse Practitioner | 23 F. Whites Path, South Yarmouth, MA 02664 | 2012-11-28 |
| 1720161532 | Susan Wolfe Davenport | Nurse Practitioner | 3415 Floyd Ave, Richmond, VA 23221-2710 | 2006-10-23 |
| 1851638746 | Susan Elizabeth Davenport | Nurse Practitioner | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2013-01-11 |
| 1174634091 | Susan Wickersham Davenport | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-08-31 |
| Street Address |
121 CARL VINSON PARKWAY |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518921832 | Judith Bonderia Lilley | Social Worker | 121 Carl Vinson Parkway, Warner Robins, GA 31088 | 2006-04-13 |
| 1043332778 | Susan F Davenport Phd Inc | Psychologist | 121 Carl Vinson Parkway, Warner Robins, GA 31088 | 2007-04-04 |
| 1609825488 | Stephanie Michelle Whitson | Psychologist | 121 Carl Vinson Parkway, Warner Robins, GA 31088 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811954456 | C Curtis Holmes | Psychologist | 121 Carl Vinson Pkwy, Warner Robins, GA 31088-5817 | 2006-04-27 |
| 1043332778 | Susan F Davenport Phd Inc | Psychologist | 121 Carl Vinson Parkway, Warner Robins, GA 31088 | 2007-04-04 |
| 1609825488 | Stephanie Michelle Whitson | Psychologist | 121 Carl Vinson Parkway, Warner Robins, GA 31088 | 2006-05-09 |
| 1063400083 | Barbara Tippins Embry | Psychologist | 655 7th St, Bldg 700, Robins Afb, Warner Robins, GA 31098-2227 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
| 1588261945 | Raven Evans | Psychologist | 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080-7639 | 2020-10-07 |
| 1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
| 1932721784 | Essential Counseling & Consulting, Inc | Psychologist | 2800 Old Spanish Trl, College Park, GA 30349-4266 | 2020-05-15 |
| 1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
| 1336760164 | Lauren Olivia Patterson | Psychologist | 209 Thornwood Ct, Statesboro, GA 30458-0296 | 2020-05-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
| 1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
| 1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on DR. SUSAN F DAVENPORT.
| 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.