MS. CASSIDY DAVIS (NPI# 1750908927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750908927 |
| Entity Type | Individual |
| Full Name | MS. CASSIDY DAVIS |
| Credential | R.T.(R) |
| Practice Address |
501 Redmond Rd Nw Rome GA 30165-1415 |
| Mailing Address |
3283 Antioch Rd Cedartown GA 30125-5909 |
| Practice Telephone | 7705986146 |
| Mailing Telephone | 7705986147 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 589206 | GA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043584436 | Cassidy Wray Davis | Pharmacist | 902 E Lincoln Rd, Idabel, OK 74745-7337 | 2012-03-02 |
| Street Address |
501 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571541 | Hitesh Keshavbhai Patel | Internal Medicine | 501 Redmond Rd Nw, 6th Floor, Rome, GA 30165-1415 | 2006-05-05 |
| 1124636527 | Alan Phrommala | Physician Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-21 |
| 1003445495 | Brice Peter Bowerman | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1669001970 | Erica Laine Venable | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1427687847 | Sebastian Hawkins | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1205465713 | Clifford Wayne Gordon Jr. | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1861021370 | Robert Novak | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1336778976 | John Edward Whalen Jr. | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1942839568 | Carson Womack | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1558990150 | Navdeep Singh | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801281100 | On-site Imaging Solutions LLC | Radiologic Technologist | 10755 Brunson Dr, Johns Creek, GA 30097-8465 | 2015-04-02 |
| 1013318948 | Patti Catlett | Radiologic Technologist | 3060 Cypress Cv, Ball Ground, GA 30107-2675 | 2014-09-10 |
| 1033471669 | Vincent Paul Jackson | Radiologic Technologist | 4950 Glaze Dr, Atlanta, GA 30360-1702 | 2012-06-11 |
| 1184870115 | David Anthony Hardwick | Radiologic Technologist | 3198 Trinity Mill Cir, Dacula, GA 30019-1036 | 2008-08-11 |
| 1154584555 | Kathy C Isley | Radiologic Technologist | Lockheed Martin Aeronautics Co, 86 South Cobb Drive, Dept Re2m, Zone 0454, Marietta, GA 30063-0001 | 2008-07-07 |
| 1639298276 | Brian L Jones | Radiologic Technologist | 203 Pineywood Rd, Griffin, GA 30224-4964 | 2007-03-28 |
| 1346255080 | Open Mri of Milledgeville LLC | Radiologic Technologist | 1850 North Columbia Street, Suite 3, Milledgeville, GA 31061-7113 | 2006-07-30 |
| 1134151079 | Tina Marie Sapp | Radiologic Technologist | 1401 Tift Ave N, Tifton, GA 31794-3585 | 2006-07-07 |
| 1265421614 | Greene David Mock | Radiologic Technologist | 34 Diana Dr, Savannah, GA 31406-7510 | 2005-10-18 |
| 1245852805 | Cristina Royce | Radiologic Technologist | 35 Hospital Rd, Blairsville, GA 30512-3139 | 2020-05-17 |
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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.