MRS. AUTUMN DEESE DAVIS (NPI# 1942328984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942328984 |
Entity Type | Individual |
Full Name | MRS. AUTUMN DEESE DAVIS |
Credential | P.A.-C |
Practice Address |
401 Dixie St Carrollton GA 30117-3921 |
Practice Telephone | 6787960681 |
Practice Fax Number | 7708368477 |
Mailing Telephone | 6787960681 |
Mailing Fax Number | 7708368477 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2014-08-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 1075178 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578553780 | Autumn Renee Davis | Registered Nurse | 19-c Fort Evans Rd, Leesburg, VA 20176-4487 | 2005-10-27 |
1629682000 | Autumn A Davis | Social Worker | 3645 Ridge Mill Dr, Hilliard, OH 43026-7752 | 2020-09-03 |
1881213536 | Autumn Lee Davis | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-13 |
1922512029 | Autumn Davis | Behavior Technician | 529 Westport Rd, Elizabethtown, KY 42701-2949 | 2017-11-28 |
1326444936 | Autumn Joy Davis | Physical Therapist | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2014-11-10 |
Street Address |
401 DIXIE ST |
City | CARROLLTON |
State | GA |
Zip Code | 30117-3921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
Find all providers in zip 30117 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
1073129276 | Versoal, Pllc | Physician Assistant | 2459 E Hebron Pkwy Ste 100, Carrollton, TX 75010-4477 | 2020-09-22 |
1679099477 | Alyssa Musa Ali | Physician Assistant | 1301 Oneida Dr, Carrollton, TX 75010-2303 | 2017-08-14 |
1164887899 | Jashica Desai | Physician Assistant | 4300 N Josey Ln Ste 110, Carrollton, TX 75010-4681 | 2015-12-22 |
1538473343 | Christie Marie Redrow | Physician Assistant | 1237 Stillwater Trl, Carrollton, TX 75007-6230 | 2010-08-04 |
1518290378 | Kimberly A Quinter | Physician Assistant | 16160 Quail Crescent Ln, Carrollton, VA 23314-2251 | 2009-09-11 |
1861623951 | Asma Ashiqali Bhaidani | Physician Assistant | 4125 Fairway Dr Ste 190, Carrollton, TX 75010 | 2009-08-06 |
1306984679 | Richard C Schutt | Physician Assistant | 4780 N Josey Lane, Carrollton, TX 75010 | 2007-02-01 |
1437222783 | Gary Steven Marcum | Physician Assistant | 1702 E Belt Line Rd, Carrollton, TX 75006-6375 | 2006-11-16 |
1336223288 | Orvial Lee Bennett Jr. | Physician Assistant | 4333 N Josey Ln Ste 104, Carrollton, TX 75010-4620 | 2006-10-25 |
Find all providers in CARROLLTON |
City | CARROLLTON |
Zip Code | 30117 |
Please comment or provide details below to improve the information on MRS. AUTUMN DEESE 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.