1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. General Practice
  6. NPI Profile

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: August 16, 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
Phone(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
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
720 WESTVIEW DR SW, Atlanta, GA 30310
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

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 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.

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.