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BRIAN DAVIS
NPI 1093404089
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since May 04, 2023PECOS Enrolled
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 756-1959 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Davis NPPES

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

BRIAN DAVIS (NPI 1093404089) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2024).

NPPES Registry Identity

NPI1093404089
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN DAVIS
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address2651 Poydras St Apt 3211New Orleans, LA 70119-7589 · (225) 803-9306
Phone(404) 756-1959
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2024
Enumeration DateMay 4, 2023
NPPES CertifiedMay 4, 2023
✔ NPI 1093404089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
720 WESTVIEW DR SW, Atlanta, GA 30310
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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)

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

PECOS PAC ID2365939444
PECOS Enrollment IDI20251013003763
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 20

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

BRYAN OSAYAMHEN OKOSUN
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
UGOCHI GLADYS ANANABA
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. THEODORA CHIDERA ABAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. ALEX WALEED MOHAMMAD ALQUDAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1341
YOG VAGHANI
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
BRADFORD ZACHARY GRANT
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
NIRVANA ALLISON DURBAL
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
IVANNA ALEXIS WARD DO
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1383

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 Brian Davis's NPI number?

The NPI number for Brian Davis is 1093404089. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Brian Davis located?

Brian Davis practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 756-1959.

What is Brian Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brian Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brian Davis was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.