TINA LEAH DAVIS (NPI# 1376767210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376767210 |
| Entity Type | Individual |
| Full Name | TINA LEAH DAVIS |
| Other Name | TINA LEAH NIEMAN |
| Credential | ATC |
| Practice Address |
4601 Saddle Gate Ln Acworth GA 30101-5286 |
| Practice Telephone | 7709758995 |
| Mailing Telephone | 7709758995 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000887 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517929 | Tina M Davis | Technician | 2616 Forrestal Ave, Saint Albans, WV 25177-2123 | 2020-10-29 |
| 1538394036 | Tina Lynn Davis | Non-emergency Medical Transport (VAN) | 3014 Lincoln St, Liberty, TX 77575-6121 | 2009-05-28 |
| 1881818789 | Tina Rene Davis | Counselor | 534 S Kansas Ave, Suite 600, Topeka, KS 66603-3451 | 2007-04-12 |
| 1346884467 | Tina Mae Davis | Counselor | 322 S Birch St, Mccleary, WA 98557-9522 | 2019-10-31 |
| 1134762602 | Tina Louise Davis | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-10-28 |
| 1518524883 | Tina Richelle Davis | Social Worker | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-05-22 |
| 1073016309 | Tina Lytrell Davis | Case Manager/Care Coordinator | 103 W Market St, Warren, OH 44481-1017 | 2018-03-13 |
| 1568962611 | Tina Marie Davis | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2018-02-15 |
| 1396258521 | Tina Marie Davis | Speech-Language Pathologist | 2720 Charles Town Rd, Martinsburg, WV 25405-5626 | 2017-11-09 |
| 1104198035 | Tina Lynne Davis | Counselor | 165 Center St, Jacksonville, NC 28546-5708 | 2012-02-08 |
| Street Address |
4601 SADDLE GATE LN |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-5286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| 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 |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1730532334 | Joshua Michael Bush | Specialist/Technologist | 685 Braidwood Ter Nw, Acworth, GA 30101-3513 | 2016-07-19 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1487043717 | Bryan Rivera | Specialist/Technologist | 3175 Souffle Ct, Acworth, GA 30101-6232 | 2015-01-09 |
| 1386058683 | Kyle Patrick | Specialist/Technologist | 1122 Regiment Dr Nw, Acworth, GA 30101-8462 | 2014-06-13 |
| 1194854612 | Michelle Hernandez Scott | Specialist/Technologist | 42 Moonshadow Way, Acworth, GA 30101-2619 | 2007-03-02 |
| 1780652388 | Ingrid Mary Grutzmacher | Specialist/Technologist | 5718 Fairwood Dr Nw, Acworth, GA 30101-7840 | 2006-03-09 |
| 1982210563 | Vrok Fitness LLC | Specialist/Technologist | 631 Oakside Pl, Acworth, GA 30102-8813 | 2020-09-19 |
| 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.