MRS. LESLIE CONGER DAVIS RD, LD, CDE
NPI 1336580307
Dietitian, Registered in Dacula, GA

Q: What is Leslie Davis's NPI number?

The NPI number for Leslie Davis is 1336580307. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Q: What is Leslie Davis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Davis was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 08, 2013Accepts Medicare Assignment

3617 BRASELTON HWY, SUITE 104, DACULA, GA 30019(770) 718-6736 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Leslie Conger Davis Rd, Ld, Cde NPPES

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

MRS. LESLIE CONGER DAVIS RD, LD, CDE (NPI 1336580307) is an individual dietitian, registered in Dacula, Georgia, licensed in Georgia (LD001208) and active in the NPI registry since July 2013. She is a graduate of Other (1991).

NPPES Registry Identity

NPI1336580307

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. LESLIE CONGER DAVISCredential: RD, LD, CDE

Location Address3617 BRASELTON HWY, SUITE 104Dacula, GA 30019-4667

Mailing Address2709 Legislative LnBuford, GA 30519-8037 · (770) 718-6736

Phone(770) 718-6736

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateJuly 8, 2013

Last NPPES UpdateJune 26, 2014

✔ NPI 1336580307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in GA · LD001208

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

3617 BRASELTON HWY, Dacula, GA 30019

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Leslie Conger Davis Rd, Ld, Cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789802620

PECOS Enrollment IDI20260205002709

Medicare Billing Reassignments

Medicare enrollment records show Leslie Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Creek Surgery PC

15 mi

Surgery

6920 MCGINNIS FERRY RD, SUITE 340
Suwanee, GA 30024

Reassigned Medicare billing, Georgia enrollment
5 clinicians in this Medicare group

NPI 1922033802 (770) 232-2911

Strategic Nutrition

2,185 mi

Dietitian, Registered

5021 TUALATA LN
Lake Oswego, OR 97035

Reassigned Medicare billing, Oregon enrollment
44 clinicians in this Medicare group

NPI 1679823108 (503) 974-6454

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 30019 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

$0.00 typical visit price

range $56.84 – $172.43

Typical copayment $0.00 (range $14.21 – $43.10)

Most-billed visit code NA

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 4

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

NORTH GEORGIA NUTRITION AND WELLNESS LLC

Dietitian, Registered

3617 BRASELTON HWY, SUITE 104
DACULA, GA 30019

Gwinnett County (770) 718-6736

CHERYL HUGHES LCSW, CSW-G

Social Worker (Clinical)

3617 BRASELTON HWY, SUITE 104
DACULA, GA 30019

Gwinnett County (678) 451-8693

CATHY SUTTON LCSW

Social Worker (Clinical)

3617 BRASELTON HWY, SUITE 104
DACULA, GA 30019

Gwinnett County (217) 474-6892

MAGNOLIA COUNSELING SERVICES, LLC

Community/Behavioral Health

3617 BRASELTON HWY, SUITE 104
DACULA, GA 30019

Gwinnett County (678) 451-8693

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 Leslie Davis's NPI number?

The NPI number for Leslie Davis is 1336580307. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Leslie Davis located?

Leslie Davis practices at 3617 Braselton Hwy Suite 104, Dacula, GA 30019. The listed phone number is (770) 718-6736.

What is Leslie Davis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Leslie Davis enrolled in Medicare?

Yes. Leslie Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Leslie Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Davis reassigns Medicare benefits to 2 organizations: Johns Creek Surgery PC (Suwanee, GA) and Strategic Nutrition (Lake Oswego, OR). Each 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 Leslie Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leslie Davis accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Leslie Davis 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 Leslie Davis was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.