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MRS. CAROL DAWN DAVIS MD
NPI 1649405499
Pediatrics in Lilburn, GA

Active since May 22, 2009PECOS Enrolled
4120 FIVE FORKS TRICKUM ROAD, SUITE 102, LILBURN, GA 30047(770) 923-6400(770) 564-1697 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Carol Dawn Davis Md NPPES

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

MRS. CAROL DAWN DAVIS MD (NPI 1649405499) is an individual pediatrics provider in Lilburn, Georgia, licensed in Georgia (059701) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649405499
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. CAROL DAWN DAVISCredential: MD
Location Address4120 FIVE FORKS TRICKUM ROAD, SUITE 102Lilburn, GA 30047-3102
Mailing Address4120 Five Forks Trickum Road, Suite 102Lilburn, GA 30047-3102 · (770) 923-6400 · Fax (770) 564-1697
Phone(770) 923-6400
Fax(770) 564-1697
Sole ProprietorYes
Enumeration DateMay 22, 2009
Last NPPES UpdateFebruary 26, 2014
✔ NPI 1649405499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 059701
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4120 FIVE FORKS TRICKUM ROAD, Lilburn, GA 30047
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carol Dawn Davis Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Carol Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Coverage, LLC
154 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

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 30047 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
$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.

GEORGE Z KATSITADZE MD PHD
Pediatrics
4120 FIVE FORKS TRICKUM ROAD, SUITE102
LILBURN, GA 30047
Gwinnett County (770) 923-6400

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 Carol Davis's NPI number?

The NPI number for Carol Davis is 1649405499. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Carol Davis located?

Carol Davis practices at 4120 Five Forks Trickum Road Suite 102, Lilburn, GA 30047. The listed phone number is (770) 923-6400.

What is Carol Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carol Davis enrolled in Medicare?

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

Which organization bills Medicare for Carol Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Davis reassigns Medicare benefits to Emergency Coverage, LLC (Newport, TN). 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 Carol Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carol Davis was last updated on February 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.