CHARLES ANDREW DAVIDSON PHD
NPI 1306154885
Psychologist - Clinical in Atlanta, GA

Q: What is Charles Davidson's NPI number?

The NPI number for Charles Davidson is 1306154885. It was assigned to this individual provider in the NPPES registry on September 19, 2010. The provider is also known as Charlie Andrew Davidson Phd.

Q: What is Charles Davidson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Charles Davidson was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 19, 2010PECOS Enrolled

1784 CENTURY BLVD NE STE A, ATLANTA, GA 30345(402) 370-6778 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2018, Mar 21, 2018 (2 updates tracked since 2018).

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About Charles Andrew Davidson Phd NPPES

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

CHARLES ANDREW DAVIDSON PHD (NPI 1306154885) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (PSY004112) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Nebraska College Of Medicine (2015).

NPPES Registry Identity

NPI1306154885

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCHARLES ANDREW DAVIDSONCredential: PHD

Location Address1784 CENTURY BLVD NE STE AAtlanta, GA 30345-3313

Mailing Address1784 Century Blvd Ne Ste AAtlanta, GA 30345-3313 · (402) 370-6778

Phone(402) 370-6778

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2015

Enumeration DateSeptember 19, 2010

Last NPPES UpdateApril 29, 20252 updates tracked since enumeration

NPPES CertifiedApril 29, 2025

✔ NPI 1306154885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY004112

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1784 CENTURY BLVD NE STE A, Atlanta, GA 30345

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Other Names 1

Professional Name (2)Charlie Andrew Davidson Phd

Secondary Practice Locations 2

Location 12221 S 17th St, Lancaster County Community Mental Health CenterLincoln, NE 68502-3700 · Phone (402) 441-7940 · Fax (402) 441-8625

Location 262 Lenox Pointe NE Ste BAtlanta, GA 30324-7410 · Phone (404) 727-8384

Other Identifiers 1

OtherPSY004112GA · Psychologist License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Andrew Davidson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345739355

PECOS Enrollment IDI20251030000589

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 Charles Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc

7.3 mi

Internal Medicine

80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
2,681 clinicians in this Medicare group

NPI 1063452381 (404) 778-7717

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30345 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

$172.43 typical visit price

range $56.84 – $172.43

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

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY DISNEY PHD, LCSW

Social Worker (Clinical)

1784 CENTURY BLVD NE STE A
ATLANTA, GA 30345

Dekalb County (470) 886-6656

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 Charles Davidson's NPI number?

The NPI number for Charles Davidson is 1306154885. It was assigned to this individual provider in the NPPES registry on September 19, 2010. The provider is also known as Charlie Andrew Davidson Phd.

Where is Charles Davidson located?

Charles Davidson practices at 1784 Century Blvd NE Ste A, Atlanta, GA 30345. The listed phone number is (402) 370-6778.

What is Charles Davidson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Charles Davidson enrolled in Medicare?

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

Which organization bills Medicare for Charles Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Davidson reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, GA). 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 Charles Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Davidson accept?

Health plans from Oscar Health list Charles 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 Charles Davidson was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.