MRS. MITRA MANSOURI DAVIS CNM
NPI 1164574844
Advanced Practice Midwife in Atlanta, GA

Q: What is Mitra Davis's NPI number?

The NPI number for Mitra Davis is 1164574844. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Mitra Davis's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: Is Mitra Davis enrolled in Medicare?

No. Mitra Davis has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mitra Davis was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 16, 2007Opted out of Medicare · through Mar 1, 2028

1100 JOHNSON FERRY RD, SUITE 800, ATLANTA, GA 30342(404) 252-1137(404) 252-6794 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Mitra Mansouri Davis Cnm NPPES

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

MRS. MITRA MANSOURI DAVIS CNM (NPI 1164574844) is an individual advanced practice midwife in Atlanta, Georgia, licensed in Georgia (RN112909) and active in the NPI registry since January 2007. She has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164574844

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. MITRA MANSOURI DAVISCredential: CNM

Location Address1100 JOHNSON FERRY RD, SUITE 800Atlanta, GA 30342-1709

Mailing Address1100 Johnson Ferry Rd, Suite 800Atlanta, GA 30342-1709 · (404) 252-1137 · Fax (404) 252-6794

Phone(404) 252-1137

Fax(404) 252-6794

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateFebruary 2, 2016

✔ NPI 1164574844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in GA · RN112909

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

1100 JOHNSON FERRY RD, Atlanta, GA 30342

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Mitra Mansouri Davis Cnm has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2016 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2016

Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JEFFREY S. HOADLEY M.D.

Surgery

1100 JOHNSON FERRY RD, BUILDING II SUITE 470
SANDY SPRINGS, GA 30342

Fulton County (404) 255-4901

MR. JOHN RANDOLPH MOLDEN III LCSW

Social Worker (Clinical)

1100 JOHNSON FERRY RD, SUITE 600
SANDY SPRINGS, GA 30342

Fulton County (404) 256-4777

NORTHSIDE HOSPITAL, INC.

Pharmacy (Community/Retail Pharmacy)

1100 JOHNSON FERRY RD, STE 107
ATLANTA, GA 30342

Fulton County (404) 845-3201

CHARLES D WOOTTEN M.D.

Obstetrics & Gynecology

1100 JOHNSON FERRY RD, SUITE 800
ATLANTA, GA 30342

Fulton County (404) 252-1137

RIDDHI PIYUSH PATEL

Student in an Organized Health Care Education/Training Program

1100 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 953-4034

THOMAS E SHARON M.D.

Obstetrics & Gynecology

1100 JOHNSON FERRY RD, SUITE 800
ATLANTA, GA 30342

Fulton County (404) 252-1137

MOLLY WOLFSON PSY.D.

Psychologist (Clinical)

1100 JOHNSON FERRY RD, STE. 230
ATLANTA, GA 30342

Fulton County (229) 563-1351

DR. ARNOLD J. ROSEN M.D.

Surgery

1100 JOHNSON FERRY RD, BUILDING II SUITE 470
SANDY SPRINGS, GA 30342

Fulton County (404) 252-2324

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 Mitra Davis's NPI number?

The NPI number for Mitra Davis is 1164574844. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Mitra Davis located?

Mitra Davis practices at 1100 Johnson Ferry Rd Suite 800, Atlanta, GA 30342. The listed phone number is (404) 252-1137.

What is Mitra Davis's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Mitra Davis enrolled in Medicare?

No. Mitra Davis has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mitra Davis was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.