Courtney Renner Davis (NPI# 1952535163, PAC ID# 5193868461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952535163 |
| PAC ID by PECOS | 5193868461 |
| Professional Enrollment ID | I20100209000250 |
| Full Name | Courtney Renner Davis |
| Organization Legal Name | GWINNETT DERMATOLOGY, PC D/B/A GEORGIA DERMATOLOGY PARTNERS |
| Address |
117 Lee Byrd Rd Loganville GA 30052-2310 |
| Phone Number | 7709724845 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002804309 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| River Place Medical Plaza, 1 1515 River Place Suite 300, Braselton, GA 30517-5605 | 7709724845 | GWINNETT DERMATOLOGY, PC D/B/A GEORGIA DERMATOLOGY PARTNERS |
| 117 Lee Byrd Rd, Loganville, GA 30052-2310 | 7709724845 | GWINNETT DERMATOLOGY, PC D/B/A GEORGIA DERMATOLOGY PARTNERS |
| 2383 Pate St, Snellville, GA 30078-3250 | 7709724845 | GWINNETT DERMATOLOGY, PC D/B/A GEORGIA DERMATOLOGY PARTNERS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 2% |
| Organization Legal Name | GWINNETT DERMATOLOGY, PC D/B/A GEORGIA DERMATOLOGY PARTNERS |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer B Sissom | Physician Assistant | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 2383 Pate St, Snellville, GA 30078-3250 |
| Kirk D Saddler | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Susan B Oh | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 2383 Pate St, Snellville, GA 30078-3250 |
| Joel S Shavin | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 2383 Pate St, Snellville, GA 30078-3250 |
| Amy K Goodman | Physician Assistant | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Jessica J Mercer | Pathology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Keith Wright | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Alia Brown | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Devon Pattillo | Physician Assistant | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 2383 Pate St, Snellville, GA 30078-3250 |
| Brittany Dupree | Nurse Practitioner | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Street Address |
117 LEE BYRD RD |
| City | LOGANVILLE |
| State | GA |
| Zip | 30052-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk D Saddler | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Amy K Goodman | Physician Assistant | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Jessica J Mercer | Pathology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Keith Wright | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Alia Brown | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Brittany Dupree | Nurse Practitioner | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Z Mikrut | Internal Medicine | 902 Athens Hwy, Loganville, GA 30052 | |
| Germaine D Cummings | Family Medicine | 4480 Atlanta Hwy, Loganville, GA 30052 | |
| Harrison C Ojimma | Certified Registered Nurse Anesthetist (crna) | 367 Athens Hwy 100, Loganville, GA 30052-2207 | |
| Angelina Postoev | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Christopher Alade Ibikunle | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Angel F Farinas | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Christian X Cruz Pico | General Surgery | Georgia Surgicare | 367 Athens Hwy, Loganville, GA 30052-2207 |
| Jean Cadet | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
| Kenyatta Merriweather | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
| Mandy Michelle Miller | Clinical Social Worker | 125 Lee Byrd Rd, Loganville, GA 30052-2310 | |
| Find all physicians in zip 30052 | |||
| City | LOGANVILLE |
| Zip Code | 30052 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LOGANVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Courtney Renner Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.