SADIE DAVENPORT PA-C
NPI 1710440136
Physician Assistant in Atlanta, GA

Active since April 11, 2019PECOS Enrolled
1400 TULLIE RD NE FL 3, ATLANTA, GA 30329(404) 785-5437(404) 785-9111 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2022, May 28, 2019, Apr 11, 2019 (3 updates tracked since 2019).

About Sadie Davenport Pa-c NPPES

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

SADIE DAVENPORT PA-C (NPI 1710440136) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (10552) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710440136
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSADIE DAVENPORTCredential: PA-C
Location Address1400 TULLIE RD NE FL 3Atlanta, GA 30329-2309
Mailing Address1400 Tullie Rd Ne Fl 3Atlanta, GA 30329-2309 · (404) 785-5437 · Fax (404) 785-9111
Fax(404) 785-9111
Sole ProprietorNo
Enumeration DateApril 11, 2019
Last NPPES UpdateFebruary 17, 20223 updates tracked since enumeration
NPI 1710440136 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 · 10552
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.

1400 TULLIE RD NE FL 3, Atlanta, GA 30329

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sadie Davenport Pa-c 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 30329 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 12

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

Psychologist (Clinical)
1400 TULLIE RD NE FL 3
ATLANTA, GA 30329
Nurse Practitioner
1400 TULLIE RD NE FL 3
ATLANTA, GA 30329
Pediatrics (Pediatric Endocrinology)
1400 TULLIE RD NE FL 3
ATLANTA, GA 30329
Pediatrics (Pediatric Endocrinology)
1400 TULLIE RD NE FL 3
ATLANTA, GA 30329
Pediatrics (Pediatric Endocrinology)
1400 TULLIE RD NE FL 3
ATLANTA, GA 30329
Nurse Practitioner (Pediatrics)
1400 TULLIE RD NE FL 3
ATLANTA, GA 30329
Pediatrics
1400 TULLIE RD NE FL 3
ATLANTA, GA 30329
Psychologist (Clinical)
1400 TULLIE RD NE FL 3
ATLANTA, GA 30329

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 Sadie Davenport's NPI number?

The NPI number for Sadie Davenport is 1710440136. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Sadie Davenport located?

Sadie Davenport practices at 1400 Tullie Rd NE Fl 3, Atlanta, GA 30329. The listed phone number is (404) 785-5437.

What is Sadie Davenport's specialty?

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

Is Sadie Davenport enrolled in Medicare?

Yes. Sadie Davenport is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sadie Davenport was last updated on February 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.