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NISSA ROSE DAVIS ATC
NPI 1104781616
Specialist/Technologist - Athletic Trainer in Aiken, SC

Active since December 17, 2025
2049 CHAMPION WAY, AIKEN, SC 29801(719) 200-9770 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nissa Rose Davis Atc NPPES

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

NISSA ROSE DAVIS ATC (NPI 1104781616) is an individual athletic trainer provider in Aiken, South Carolina and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1104781616
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameNISSA ROSE DAVISCredential: ATC
Location Address2049 CHAMPION WAYAiken, SC 29801-5395
Mailing Address825 Leadership Dr Apt GAiken, SC 29801-5391
Phone(719) 200-9770
Sole ProprietorYes
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1104781616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
2049 CHAMPION WAY, Aiken, SC 29801
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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 Nissa Davis's NPI number?

The NPI number for Nissa Davis is 1104781616. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Nissa Davis located?

Nissa Davis practices at 2049 Champion Way, Aiken, SC 29801. The listed phone number is (719) 200-9770.

What is Nissa Davis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Nissa Davis was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.