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CETARA DAVIS LPC
NPI 1023735180
Counselor - Professional in Tucker, GA

Active since October 20, 2022PECOS Enrolled
3568 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084(770) 852-0486 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cetara Davis Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CETARA DAVIS LPC (NPI 1023735180) is an individual professional provider in Tucker, Georgia, licensed in Georgia (LPC015326) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023735180
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCETARA DAVISCredential: LPC
Location Address3568 HABERSHAM AT NORTHLAKETucker, GA 30084-4009
Mailing Address3568 Habersham At Northlake RoadTucker, GA 30084
Phone(770) 852-0486
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 20, 2022
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1023735180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC015326
3568 HABERSHAM AT NORTHLAKE, Tucker, GA 30084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cetara Davis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456832724
PECOS Enrollment IDI20260225000507
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCIANA HEARD MFT
Marriage & Family Therapist
3568 HABERSHAM AT NORTHLAKE, BLDG.K
TUCKER, GA 30084
Dekalb County (678) 585-2300
MRS. SHANA STYLES TRIMBLE LMFT
Counselor
3568 HABERSHAM AT NORTHLAKE, BLDG K
TUCKER, GA 30084
Dekalb County (678) 585-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cetara Davis's NPI number?

The NPI number for Cetara Davis is 1023735180. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Cetara Davis located?

Cetara Davis practices at 3568 Habersham At Northlake, Tucker, GA 30084. The listed phone number is (770) 852-0486.

What is Cetara Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cetara Davis enrolled in Medicare?

Yes. Cetara Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cetara Davis was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.