CHARLES ANDREW DAVIDSON (NPI# 1306154885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306154885 |
| Entity Type | Individual |
| Full Name | CHARLES ANDREW DAVIDSON |
| Other Name | CHARLIE ANDREW DAVIDSON |
| Credential | PHD |
| Practice Address |
62 Lenox Pointe Ne Ste B Atlanta GA 30324-7410 |
| Practice Telephone | 4047278384 |
| Mailing Telephone | 4047278384 |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY004112 | GA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PSYCHOLOGIST LICENSE | PSY004112 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2221 S 17th St, Lancaster County Community Mental Health Center, Lincoln, NE 685023700 | 4024417940 | 4024418625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023423936 | Charles Davidson | Community Health Worker | 8001 Allison Dr Se, Huntsville, AL 35802-4019 | 2014-06-30 |
| 1386936441 | Charles Jay Davidson | Chiropractor | 2108 Drake Ln, Hercules, CA 94547-5464 | 2011-05-09 |
| 1891985438 | Charles S Davidson | Rehabilitation Practitioner | 1930 Royal Dr, Conway, AR 72034-7346 | 2007-07-30 |
| 1356458525 | Charles Gerald Davidson Jr. | Dentist | 200 N Jackson St, Athens, TN 37303-3640 | 2006-08-24 |
| 1588658645 | Charles Stephen Davidson | Emergency Medicine | 5200 N Croatan Hwy, Kitty Hawk, NC 27949-3990 | 2005-09-06 |
| 1245839000 | Charles Jordan Davidson | Optometrist | 535 Wellington Way Ste 160, Lexington, KY 40503-1387 | 2020-10-22 |
| 1992012652 | Charles A Davidson | Marriage & Family Therapist | 7801 Academy Rd Ne, Bldg 2 Suite 200, Albuquerque, NM 87109-3379 | 2010-09-01 |
| 1457425902 | Charles D Davidson | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2006-11-17 |
| 1649371568 | Charles Odell Davidson | Neuromusculoskeletal Medicine, Sports Medicine | 2200 Grant St, Gary, IN 46404-3439 | 2006-09-25 |
| 1922062413 | Charles Davidson | Internal Medicine | 675 N Saint Clair St, Galter 19-100, Chicago, IL 60611-5975 | 2006-04-13 |
| Street Address |
62 LENOX POINTE NE STE B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30324-7410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760597926 | Mark Gilson | Psychologist | 62 Lenox Pointe Ne Ste B, Atlanta Center for Cognitive Therapy, Atlanta, GA 30324-7410 | 2006-08-20 |
| 1144761156 | Daniel I Shapiro, Ph.d., LLC | Psychologist | 62 Lenox Pointe Ne Ste B, Atlanta, GA 30324-7410 | 2017-03-10 |
| 1649561317 | Rochelle Marie Galletti | Counselor | 62 Lenox Pointe Ne Ste B, Atlanta, GA 30324-7410 | 2011-04-28 |
| 1104155563 | Sara D. Shepherd, Ph.d., PC | Community/Behavioral Health | 62 Lenox Pointe Ne Ste B, Atlanta, GA 30324-7410 | 2009-12-15 |
| 1871734848 | Sara D Shepherd | Psychologist | 62 Lenox Pointe Ne Ste B, Atlanta, GA 30324-7410 | 2009-03-20 |
| 1679659338 | John Turner Watkins | Psychologist | 62 Lenox Pointe Ne Ste B, Atlanta, GA 30324-7410 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1326515636 | Jacqueline Beckhom | Rehabilitation Counselor | Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 | 2018-10-25 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1730625989 | Hwh, LLC | In Home Supportive Care | 1108 Pine Heights Dr Ne, Atlanta, GA 30324 | 2017-01-12 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1063891372 | Jacqueline Nguyen | Family Medicine | 1125 Norwich Cir Ne, Atlanta, GA 30324 | 2015-05-20 |
| 1306277595 | Gerald Elroy Mitchell | Occupational Therapist | 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 | 2013-12-12 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1447594569 | Harley Anti-aging Institute LLC | Medical Genetics, Ph.D. Medical Genetics | 2678 Buford Highway Ne, Atlanta, GA 30324 | 2012-11-15 |
| Find all providers in zip 30324 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
| 1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
| 1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
| 1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
| 1952958522 | Atlas Psychological Services, LLC | Psychologist | 1100 Spring St Nw Ste 380, Atlanta, GA 30309-2854 | 2019-08-19 |
| 1679047591 | Timothy James Schlairet | Psychologist | 480 John Wesley Dobbs Ave Ne Unit 180, Atlanta, GA 30312-5326 | 2019-01-14 |
| 1578030581 | Marilyn Hazzard Lineberger | Psychologist | 5825 Glenridge Dr Bldg 3, Atlanta, GA 30328-5387 | 2018-10-28 |
| 1952896276 | Chad Irvin Lohman | Psychologist | 3800 Camp Creek Pkwy, Sw, Building 2000, Atlanta, GA 30331-6226 | 2018-06-28 |
| Find all providers in ATLANTA | ||||
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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.