JOHNETTA MARIE DAVIDSON (NPI# 1053862797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053862797 |
| Entity Type | Individual |
| Full Name | JOHNETTA MARIE DAVIDSON |
| Practice Address |
308 Commercial Dr Suite 100 Savannah GA 31406-3684 |
| Practice Telephone | 9123522425 |
| Practice Fax Number | 9123524436 |
| Mailing Telephone | 9123522425 |
| Mailing Fax Number | 9123524436 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN073348 | GA | Nursing Service Providers |
| Street Address |
308 COMMERCIAL DR SUITE 100 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-3684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720226004 | Larry Cothran Hayes | Psychologist | 308 Commercial Dr, Savannah, GA 31406-3684 | 2009-01-26 |
| 1225573355 | Jeanette Agyemang | Licensed Practical Nurse | 308 Commercial Dr, Suite 100, Savannah, GA 31406-3684 | 2016-12-28 |
| 1073962866 | Brenda Gunter | Licensed Practical Nurse | 308 Commercial Dr, Suite 100, Savannah, GA 31406-3684 | 2016-06-13 |
| 1194116855 | Assisted Recovery Center of Georgia Incorporated | Community/Behavioral Health | 308 Commercial Dr, Savannah, GA 31406-3684 | 2015-02-16 |
| 1821377235 | Assisted Recovery Center of Ga, Inc. | Clinic/Center | 308 Commercial Dr, Suite 100, Savannah, GA 31406-3684 | 2011-08-16 |
| 1578881538 | Wayne Hardy Welch | Social Worker | 308 Commercial Dr, #100, Savannah, GA 31406-3684 | 2010-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033740733 | Angela Lynn Caramela | Licensed Practical Nurse | 114 Picket Row, Savannah, GA 31410-2527 | 2020-01-31 |
| 1720635394 | Ebony Nicole Davis | Licensed Practical Nurse | 169 Parkview Rd, Savannah, GA 31419-9671 | 2019-08-19 |
| 1528611167 | Ashley Walker | Licensed Practical Nurse | 122 Gilbert Ave, Savannah, GA 31408-3414 | 2019-07-23 |
| 1982166450 | Patricia Elaine Akbar | Licensed Practical Nurse | 12 Conservation Dr, Savannah, GA 31419-7548 | 2019-04-03 |
| 1447603626 | Martha Linan | Licensed Practical Nurse | 119 Wimbledon Dr, Savannah, GA 31419-9456 | 2016-07-22 |
| 1962855809 | Leonard Good | Licensed Practical Nurse | 126 Saint Ives Dr, Savannah, GA 31419-8917 | 2016-07-15 |
| 1619325735 | Marcy Mann | Licensed Practical Nurse | 1848 Hadden Rd, Savannah, NY 13146-9778 | 2016-05-31 |
| 1861866543 | Tonya Deneen Parker | Licensed Practical Nurse | 1344 Augusta Ave, Savannah, GA 31415-2063 | 2015-11-18 |
| 1790175263 | Elliott Dawkins | Licensed Practical Nurse | 2071 Grove Point Rd, Savannah, GA 31419-9753 | 2015-02-04 |
| 1962803395 | Constance Young | Licensed Practical Nurse | 240 Duncan Dr Bldg 1440, Tuttle Army Health Clinic, Savannah, GA 31409-5102 | 2014-09-04 |
| Find all providers in SAVANNAH | ||||
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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.