KELSEY C DAVIS (NPI# 1861910374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861910374 |
| Entity Type | Individual |
| Full Name | KELSEY C DAVIS |
| Credential | PA-C |
| Practice Address |
1553 Janmar Rd Snellville GA 30078-5606 |
| Mailing Address |
1765 Old West Broad St Bldg 2-200 Athens GA 30606-2887 |
| Practice Telephone | 7065491663 |
| Practice Fax Number | 7065468792 |
| Mailing Telephone | 7065491663 |
| Mailing Fax Number | 7065468792 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8506 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953766 | Kelsey Rose Davis | Social Worker | 165 E Park Ave, Niles, OH 44446-2352 | 2020-05-07 |
| 1891335543 | Kelsey Davis | Behavior Technician | 20718 Park Row Dr, Katy, TX 77449-5181 | 2020-01-10 |
| 1740845429 | Kelsey N Davis | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2019-05-07 |
| 1902380769 | Kelsey Davis | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2018-09-18 |
| 1487135265 | Kelsey Davis | Speech-Language Pathologist | 4201 Stonegate Blvd, Fort Worth, TX 76109-9503 | 2018-08-28 |
| 1831691955 | Kelsey Davis | Speech-Language Pathologist | 14409 Greenview Dr Ste 102, Laurel, MD 20708-4213 | 2018-03-05 |
| 1063828424 | Kelsey Elizabeth Davis | Occupational Therapist | 13825 Hunton Ln, Huntersville, NC 28078-6190 | 2014-07-07 |
| 1598177057 | Kelsey Davis | Social Worker | 940 Lasley Dr, Lebanon, IN 46052-1480 | 2014-06-02 |
| Street Address |
1553 JANMAR RD |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437199312 | Michael Shane Smith | Orthopaedic Surgery | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2006-06-07 |
| 1578939054 | Amanda Diane Holland | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2015-08-19 |
| 1154714277 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2015-03-13 |
| 1679901490 | Drayer Physical Therapy Georgia LLC | Occupational Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2013-10-15 |
| 1023387768 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-12-27 |
| 1265719348 | Kristin Mae Mishrell | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-11-03 |
| 1760768014 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-11-01 |
| 1861623399 | Alaina Marie Lay | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2009-07-31 |
| 1033308739 | Wendy K Grage | Specialist/Technologist, Other | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2007-10-18 |
| 1194751024 | Ruben Diaz | Physical Medicine & Rehabilitation | 1553 Janmar Rd, Snellville, GA 30078 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| 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 |
|---|---|---|---|---|
| 1154952471 | Tanvi Mamud Dhanani | Physician Assistant | 1010 Cranbrook Glen Ln, Snellville, GA 30078-7902 | 2020-01-27 |
| 1003453283 | Nives Keran | Physician Assistant | 3176 Boulder Creek Rd, Snellville, GA 30039-4788 | 2019-12-05 |
| 1013376573 | Alig Orthopedics LLC | Physician Assistant | 2400 Wisteria Dr Ste 200, Snellville, GA 30078-2689 | 2016-02-12 |
| 1427497577 | Brett L Woodford | Physician Assistant | 1700 Tree Ln Ste 470, Snellville, GA 30078-6756 | 2013-06-21 |
| 1063488708 | Jennifer B. Sissom | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2006-02-23 |
| 1790777217 | Angela Jones | Physician Assistant | 1780 Presidential Cir, Suite 100, Snellville, GA 30078-5643 | 2005-08-19 |
| 1669092300 | Kristin Paige Turmel | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2020-04-23 |
| 1033738349 | Kathryn Iwasaki | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-04-16 |
| 1942866926 | Samantha Alice Stellmacher | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2019-05-15 |
| 1184187395 | Sawyer Reed | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2019-04-13 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.