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DR. LISHA BUTLER DAVIS PA
NPI 1639300601
Physician Assistant in Decatur, GA

Active since August 07, 2009PECOS Enrolled
2712 N DECATUR RD, DECATUR, GA 30033(404) 659-5909(770) 399-9449 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisha Butler Davis Pa NPPES

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

DR. LISHA BUTLER DAVIS PA (NPI 1639300601) is an individual physician assistant in Decatur, Georgia, licensed in Georgia (1883) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639300601
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDR. LISHA BUTLER DAVISCredential: PA
Location Address2712 N DECATUR RDDecatur, GA 30033-5910
Mailing Address2712 N Decatur RdDecatur, GA 30033-5910 · (404) 659-5909 · Fax (770) 399-9449
Phone(404) 659-5909
Fax(770) 399-9449
Sole ProprietorNo
Enumeration DateAugust 7, 2009
Last NPPES UpdateAugust 10, 2020
✔ NPI 1639300601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 1883
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2712 N DECATUR RD, Decatur, GA 30033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisha Butler Davis Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 8

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

DR. GARY ROBERT BOTSTEIN M.D.
Internal Medicine (Rheumatology)
2712 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 299-0187
GARY R BOTSTEIN MD
Internal Medicine (Rheumatology)
2712 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 299-0187
W. HUGH SPRUELL, MD, PC
Internal Medicine (Rheumatology)
2712 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 292-8333
ELIZABETH MARY BRUEHL
Physician Assistant
2712 N DECATUR RD
DECATUR, GA 30033
Dekalb County (770) 491-3003
DR. ROSS KAELUND GRANDERSON PT, DPT
Physical Therapist (Orthopedic)
2712 N DECATUR RD
DECATUR, GA 30033
Dekalb County (770) 491-3003
RESURGENS, LLC
Orthopaedic Surgery
2712 N DECATUR RD
DECATUR, GA 30033
Dekalb County (770) 491-3003
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
2712 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 294-7632
SANFORD S HARTMAN, MD PC
Internal Medicine (Rheumatology)
2712 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 292-5222

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 Lisha Davis's NPI number?

The NPI number for Lisha Davis is 1639300601. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Where is Lisha Davis located?

Lisha Davis practices at 2712 N Decatur Rd, Decatur, GA 30033. The listed phone number is (404) 659-5909.

What is Lisha Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisha Davis enrolled in Medicare?

Yes. Lisha Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisha Davis was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.