MRS. VETHILLA DAVIS (NPI# 1851956791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851956791 |
| Entity Type | Individual |
| Full Name | MRS. VETHILLA DAVIS |
| Other Name | VETHILLA HAIRSTON |
| Practice Address |
80 Jesse Hill Jr Dr Se Atlanta GA 30303-3031 |
| Mailing Address |
20 Herrell Rd Villa Rica GA 30180-5527 |
| Practice Telephone | 4046164781 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN254248 | GA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN254248 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Herrell Rd, Villa Rica, GA 301805527 | 7708123266 |
| Street Address |
80 JESSE HILL JR DR SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301830 | Adefisayo Oduwole | Internal Medicine | 80 Jesse Hill Jr Dr Se, Ste 2e, Atlanta, GA 30303-3031 | 2005-07-21 |
| 1598365421 | Warren W Jarrett | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-10-29 |
| 1245830579 | Abigail Walker Murray | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-10-27 |
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1013523828 | Alicia Wong | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-17 |
| 1538775473 | Nebiyu D Muleta | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-16 |
| 1952915431 | Rikita D Patel | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-09-02 |
| 1639782832 | Chaltu Raba | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-26 |
| 1790397172 | Ashley A Bostic | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-18 |
| 1174134050 | Kayla Renee Brown | Physician Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989549 | Bosede Omolara Babalola-adejokun | Nurse Practitioner | 160 Magnolia Walk Ln, Atlanta, GA 30349-4067 | 2020-07-16 |
| 1891313276 | Health Medix Center Inc | Nurse Practitioner | 5401 Boreal Way Sw, Atlanta, GA 30331-9215 | 2020-07-11 |
| 1831736826 | Carol Lorraine Borchers | Nurse Practitioner | 3648 Peachtree Rd Ne Apt 1j, Atlanta, GA 30319-1271 | 2019-12-09 |
| 1033606165 | Jane Wanjiru Waweru | Nurse Practitioner | 635 Windy Ridge Ln Se, Atlanta, GA 30339-2438 | 2018-04-14 |
| 1780198820 | Joanne Patrice Parks | Nurse Practitioner | 3110 Henderson Walk, Atlanta, GA 30340-4329 | 2017-11-28 |
| 1013467570 | Jill Morich Webb | Nurse Practitioner | 2150 Peachford Rd Ste Q, Atlanta, GA 30338-6539 | 2016-10-09 |
| 1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
| 1407211964 | Donna D. Wilson | Nurse Practitioner | 35 Collier Rd Nw Ste 425, Atlanta, GA 30309-1613 | 2015-12-28 |
| 1265785596 | Shikira Mone' Woods | Nurse Practitioner | 101 Marietta St Nw Ste 350, Atlanta, GA 30303-2724 | 2012-10-24 |
| 1104846385 | Elizabeth L Robinson | Nurse Practitioner | 289 Little St Se, Atlanta, GA 30315-1364 | 2006-07-20 |
| 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.