BREA NICOLE DAVIDSON
NPI 1194305151
General Practice in Atlanta, GA

Active since April 13, 2021PECOS Enrolled
720 WESTVIEW DR SW, ATLANTA, GA 30310(678) 357-6524 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2023, Apr 13, 2021 (2 updates tracked since 2021).

About Brea Nicole Davidson NPPES

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

BREA NICOLE DAVIDSON (NPI 1194305151) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (94036) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194305151
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameBREA NICOLE DAVIDSON
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address4859 Stonehall PlAtlanta, GA 30339-1511 · (678) 357-6524
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1194305151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 94036
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
720 WESTVIEW DR SW, Atlanta, GA 30310

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brea Nicole Davidson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Brea Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310

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 Brea Davidson's NPI number?

The NPI number for Brea Davidson is 1194305151. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Brea Davidson located?

Brea Davidson practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (678) 357-6524.

What is Brea Davidson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brea Davidson enrolled in Medicare?

Yes. Brea Davidson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brea Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brea Davidson reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brea Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brea Davidson accept?

Health plans from CareSource (Common Ground Healthcare) list Brea Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brea Davidson was last updated on January 19, 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.