KEENAN WILLS DAVIS
NPI 1235906850
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Keenan Davis's NPI number?

The NPI number for Keenan Davis is 1235906850. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is Keenan Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keenan Davis was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 04, 2023PECOS Enrolled

100 WOODRUFF CIR NE, ATLANTA, GA 30322(404) 727-5655 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Keenan Wills Davis NPPES

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

KEENAN WILLS DAVIS (NPI 1235906850) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235906850

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEENAN WILLS DAVIS

Location Address100 WOODRUFF CIR NEAtlanta, GA 30322-3808

Mailing Address100 Woodruff Cir NeAtlanta, GA 30322-3808

Phone(404) 727-5655

Sole ProprietorNo

Enumeration DateDecember 4, 2023

NPPES CertifiedDecember 4, 2023

✔ NPI 1235906850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

100 WOODRUFF CIR NE, Atlanta, GA 30322

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)

Keenan Wills Davis 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.

QSANET TEKIE

Student in an Organized Health Care Education/Training Program