SHELBY NICOLE DAVIS (NPI# 1861921009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861921009 |
| Entity Type | Individual |
| Full Name | SHELBY NICOLE DAVIS |
| Credential | ATC |
| Practice Address |
122 Jade Way Maysville GA 30558-5614 |
| Practice Telephone | (706) 870-4454 |
| Mailing Telephone | 7068704454 |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2017-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004131 | Shelby C Davis | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2020-02-12 |
| 1386173227 | Shelby Davis | Specialist/Technologist | 1600 Washington Ave, Conway, AR 72032-4115 | 2017-06-05 |
| 1568836815 | Shelby Davis | Nurse Practitioner | 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 | 2015-11-24 |
| 1427266154 | Shelby Alexis Davis | Specialist | 1640 Powers Ferry Rd, Building 2, Suite 150, Marietta, GA 30067-5491 | 2007-05-18 |
| 1235260738 | Shelby Davis | Internal Medicine | 6601 Preston Rd, Plano, TX 75024-2502 | 2007-03-08 |
| Street Address |
122 JADE WAY |
| City | MAYSVILLE |
| State | GA |
| Zip Code | 30558-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144692468 | Martin Medical Transport, LLC | Private Vehicle | 8459 Maysville Rd, Maysville, GA 30558 | 2015-10-26 |
| 1528183720 | Maysville Pharmacy, Inc. | Pharmacy | 8761 Maysville Road, Maysville, GA 30558 | 2007-03-20 |
| 1164463543 | Maysville Pharmacy Inc | Pharmacy | 8761 Maysville Rd, Maysville, GA 30558-0007 | 2006-06-09 |
| 1346320363 | Gary Stephen Kinsey | Family Medicine | 4 N Main St, Maysville, GA 30558-1702 | 2006-10-16 |
| 1366648644 | Maysville Family Practice, Inc | Family Medicine | 14 Homer Street, Maysville, GA 30558-1738 | 2007-06-25 |
| 1952780959 | Paradise Living | Assisted Living Facility | 258 College Ave, Maysville, GA 30558-1828 | 2015-05-22 |
| 1326476532 | Bree Whitlock | Speech-Language Pathologist | 375 Rifle Rd, Maysville, GA 30558-4923 | 2013-10-24 |
| 1922580042 | Zoey Thea Forrester | Specialist/Technologist | 711 W Ridgeway Rd, Maysville, GA 30558-5819 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1649886987 | Patricia Long | Technician | 61 Barger Holw, Maysville, WV 26833-8658 | 2020-09-22 |
| 1154935617 | Kenton Pointe LLC | Assisted Living Facility | 1455 Kenton Pointe Way, Maysville, KY 41056-1195 | 2020-09-02 |
| 1649883711 | Susan Ann Thorne | Technician | 1380 Big Run Rd, Maysville, WV 26833 | 2020-08-28 |
| 1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
| 1649882598 | Ronna Lynn Goldizen | Technician | 138 Big Run Rd, Maysville, WV 26833-8672 | 2020-08-21 |
| 1770195968 | Chassidy George | Technician | 10 Lois Ln, Maysville, WV 26833-7618 | 2020-08-19 |
| 1174135511 | Linda Vanmeter | Technician | 533 High Valley Way, Maysville, WV 26833-7000 | 2020-08-18 |
| 1639780372 | Crystal Lynn Harvey-rexroad | Technician | 130 Sugarcamp Dr, Maysville, WV 26833-8633 | 2020-08-15 |
| 1134730328 | Aleisha Diann Goldizen | Technician | 214 Sugarcamp Dr, Maysville, WV 26833-8634 | 2020-08-12 |
| Find all providers in MAYSVILLE | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580042 | Zoey Thea Forrester | Specialist/Technologist | 711 W Ridgeway Rd, Maysville, GA 30558-5819 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.