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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANE BRINSON DAVIS
NPI 1699691857
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since June 24, 2026
250 W GREEN ST, ATHENS, GA 30602(706) 542-1911 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Brinson Davis NPPES

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

SHANE BRINSON DAVIS (NPI 1699691857) is an individual student in an organized health care education/training program in Athens, Georgia, licensed in Georgia (PHI-023934) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1699691857
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHANE BRINSON DAVIS
Location Address250 W GREEN STAthens, GA 30602-5036
Mailing Address231 Jenkins Cemetary RdSardis, GA 30456-2301 · (706) 871-1853
Phone(706) 542-1911
Sole ProprietorYes
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1699691857 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
License✔ Licensed in GA · PHI-023934
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.
250 W GREEN ST, Athens, GA 30602
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

SHYAM JAYESH PATEL
Student in an Organized Health Care Education/Training Program
250 W GREEN ST
ATHENS, GA 30602
Clarke County (706) 542-1911
COOPER BOONE UTLEY
Student in an Organized Health Care Education/Training Program
250 W GREEN ST
ATHENS, GA 30602
Clarke County (706) 542-1911
LINH NGUYEN
Student in an Organized Health Care Education/Training Program
250 W GREEN ST
ATHENS, GA 30602
Clarke County (706) 542-1914
ASHLEE CHAREN-SYMONE GREENE
Pharmacy Technician
250 W GREEN ST
ATHENS, GA 30602
Clarke County (706) 542-1911
BRYAN GOMEZ
Student in an Organized Health Care Education/Training Program
250 W GREEN ST
ATHENS, GA 30602
Clarke County (770) 789-7480
SELMA KAJTAZOVIC
Pharmacist
250 W GREEN ST
ATHENS, GA 30602
Clarke County (423) 762-5845
DR. TRISHA N BRANAN PHARM.D.
Pharmacist (Critical Care)
250 W GREEN ST
ATHENS, GA 30602
Clarke County (706) 542-5372

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 Shane Davis's NPI number?

The NPI number for Shane Davis is 1699691857. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Shane Davis located?

Shane Davis practices at 250 W Green St, Athens, GA 30602. The listed phone number is (706) 542-1911.

What is Shane Davis's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Davis was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.