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AGENA RENEE DAVENPORT-NICHOLSON MD
NPI 1710140330
Obstetrics & Gynecology in Atlanta, GA

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
550 PEACHTREE ST NE, MOT 8TH FLOOR, ATLANTA, GA 30308(404) 727-8600 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Agena Renee Davenport-nicholson Md NPPES

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

AGENA RENEE DAVENPORT-NICHOLSON MD (NPI 1710140330) is an individual obstetrics & gynecology provider in Atlanta, Georgia, licensed in Georgia (67408) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1710140330
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAGENA RENEE DAVENPORT-NICHOLSONCredential: MD
Location Address550 PEACHTREE ST NE, MOT 8TH FLOORAtlanta, GA 30308-2208
Mailing Address550 Peachtree St NeAtlanta, GA 30308-2212 · (404) 727-8600
Phone(404) 727-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 3, 2008
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
✔ NPI 1710140330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in GA · 67408✔ Licensed in MA · 1026413
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
550 PEACHTREE ST NE, Atlanta, GA 30308
Open in Google Maps ↗

Other Names 1

Former Name (1)Agena Davenport M.d.

Secondary Practice Location 1

Location 1850 Harrison Avenue, FL 4, Yawkey BldgBoston, MA 02118 · Phone (617) 414-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, WellSense Health Plan.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

Agena Renee Davenport-nicholson Md 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 ID8426214107
PECOS Enrollment IDI20260414001512, I20260716000277
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 Reassignments

5

Medicare enrollment records show Agena Davenport-nicholson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
1.0 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
The Emory Clinic Inc
4.1 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Dhp Of Piedmont PC
23 mi
Obstetrics & Gynecology
1255 HIGHWAY 54 W
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 37 clinicians in this Medicare group
NPI 1316202609 (770) 719-7000
Boston University Obstetrics And Gynecology Foundation, Inc.
934 mi
Obstetrics & Gynecology
1 BOSTON MEDICAL CTR PL
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 158 clinicians in this Medicare group
NPI 1063459568 (617) 414-2000
Central Maine Medical Center
1,042 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646

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 30308 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. DOMINIC JOSEPH PAPANDRIA M.D.
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. GRANT MICHAEL MURY PAA
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 778-3900
NECHAMA DINA EZAGUI PA-S
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
SARAH NELSON
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
ADAM GARDI MD
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 259-6299
LINDSEY BORNSTEIN GOTTLIEB MD
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-8114
JONES SURGICAL GROUP LLC
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. BRIAN KEITH BROWN FNP-C
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-2505

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 Agena Davenport-nicholson's NPI number?

The NPI number for Agena Davenport-nicholson is 1710140330. It was assigned to this individual provider in the NPPES registry on July 3, 2008. The provider is also known as Agena Davenport M.D..

Where is Agena Davenport-nicholson located?

Agena Davenport-nicholson practices at 550 Peachtree St NE Mot 8th Floor, Atlanta, GA 30308. The listed phone number is (404) 727-8600.

What is Agena Davenport-nicholson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Agena Davenport-nicholson enrolled in Medicare?

Yes. Agena Davenport-nicholson 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 Agena Davenport-nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agena Davenport-nicholson reassigns Medicare benefits to 5 organizations: Emory Medical Care Foundation Inc (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA), Dhp Of Piedmont PC (Fayetteville, GA), Boston University Obstetrics And Gynecology Foundation, Inc. (Boston, MA) and Central Maine Medical Center (Lewiston, ME). 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 Agena Davenport-nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Agena Davenport-nicholson accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield and WellSense Health Plan list Agena Davenport-nicholson 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 Agena Davenport-nicholson was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.