MRS. KIMBERLY MICHEL DAVIS (NPI# 1063052470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063052470 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY MICHEL DAVIS |
Credential | MSN, RN, CCRN |
Practice Address |
4560 Atwater Ct Ste 105-2 Buford GA 30518-3497 |
Mailing Address |
500 Wagon Hill Ln Sugar Hill GA 30518-8034 |
Practice Telephone | 4702149756 |
Practice Fax Number | 4702011303 |
Mailing Telephone | 4702149756 |
Mailing Fax Number | 4702011303 |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-01-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WA2000X |
Registered Nurse Specialization: Administrator |
PHCP010551 | GA | Nursing Service Providers |
N | 163WC2100X |
Registered Nurse Specialization: Continence Care |
PHCP010551 | GA | Nursing Service Providers |
N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
PHCP010551 | GA | Nursing Service Providers |
N | 164W00000X | Licensed Practical Nurse | PHCP010551 | GA | Nursing Service Providers |
N | 164X00000X | Licensed Vocational Nurse | PHCP010551 | GA | Nursing Service Providers |
N | 251F00000X | Home Infusion | PHCP010551 | GA | Agencies |
Y | 251J00000X | Nursing Care | PHCP010551 | GA | Agencies |
N | 372600000X | Adult Companion | PHCP010551 | GA | Nursing Service Related Providers |
N | 374700000X | Technician | PHCP010551 | GA | Nursing Service Related Providers |
N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
PHCP010551 | GA | Nursing Service Related Providers |
N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
PHCP010551 | GA | Nursing Service Related Providers |
N | 376J00000X | Homemaker | PHCP010551 | GA | Nursing Service Related Providers |
N | 376K00000X | Nurse's Aide | PHCP010551 | GA | Nursing Service Related Providers |
N | 385H00000X | Respite Care | PHCP010551 | GA | Respite Care Facility |
N | 253Z00000X | In Home Supportive Care | PHCP010551 | GA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | PRIVATE HOME CARE PROVIDER | PCHP010551 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
500 Wagon Hill Ln, Sugar Hill, GA 305188034 | 4702149756 | 4702011303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477194686 | Kimberly Sienna Davis | Counselor | 17510 Huffmeister Rd Ste 102, Cypress, TX 77429-6785 | 2019-09-30 |
1457908550 | Kimberly Davis | Speech-Language Pathologist | 203 Roach Rd, Choudrant, LA 71227-3625 | 2019-08-22 |
1619438462 | Kimberly Ann Davis | Registered Nurse | 234 E Dobkins St, Dublin, TX 76446-2713 | 2019-03-26 |
1649739376 | Kimberly R Davis | Registered Nurse | 14912 W 150th Ter, Olathe, KS 66062-4610 | 2019-03-12 |
1740765726 | Kimberly Sue Davis | Case Manager/Care Coordinator | 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 | 2018-09-26 |
1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
1215426010 | Kimberly Ann Davis | Nurse Practitioner | 4470 Regency Pl Ste 106, White Plains, MD 20695-3085 | 2018-05-07 |
1962924894 | Kimberly Ann Davis | Developmental Therapist | 2370 Nw 95th Ave., Coral Springs, FL 33065-4978 | 2017-07-12 |
1346693108 | Kimberly Davis | Licensed Practical Nurse | 50 Esther St, Pontiac, MI 48341-2176 | 2016-07-18 |
1174973200 | Kimberly Davis | Technician, Other | 6515 Lakeview Blvd Apt 10212, Westland, MI 48185-5858 | 2016-06-20 |
Street Address |
4560 ATWATER CT STE 105-2 |
City | BUFORD |
State | GA |
Zip Code | 30518-3497 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
Find all providers in zip 30518 |
Taxonomy Code | 251J00000X |
Grouping | Agencies |
Classification | Nursing Care |
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. KIMBERLY MICHEL DAVIS.
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.