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KATHLEEN DAVIS NP-C
NPI 1750764932
Nurse Practitioner - Family in Canton, GA

Active since July 07, 2015PECOS Enrolled
120 OAKSIDE CT, CANTON, GA 30114(678) 880-8770 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Davis Np-c NPPES

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

KATHLEEN DAVIS NP-C (NPI 1750764932) is an individual family provider in Canton, Georgia, licensed in Georgia (RN068065) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1750764932
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN DAVISCredential: NP-C
Location Address120 OAKSIDE CTCanton, GA 30114-2471
Mailing Address2765 Lawrence Mill RunMarietta, GA 30068-3158 · (678) 777-4720
Phone(678) 880-8770
Sole ProprietorYes
Enumeration DateJuly 7, 2015
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1750764932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN068065
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License RN068065 (GA)
120 OAKSIDE CT, Canton, GA 30114
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Secondary Practice Location 1

Location 11001 Johnson Ferry RdAtlanta, GA 30342-1605 · Phone (404) 785-4848

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Davis Np-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 30114 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 3

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

MRS. KIRBY BROWN REINECKE PA-C
Physician Assistant (Medical)
120 OAKSIDE CT, SUITE H
CANTON, GA 30114
Cherokee County (678) 880-8770
GEORGIA MOUNTAIN ENDOCRINOLOGY CORPORATION
Internal Medicine (Endocrinology, Diabetes & Metabolism)
120 OAKSIDE CT, SUITE H
CANTON, GA 30114
Cherokee County (404) 556-9696
KATHARINE MARIE BOWLING FNP-C
Nurse Practitioner (Family)
120 OAKSIDE CT
CANTON, GA 30114
Cherokee County (770) 845-8780

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 Kathleen Davis's NPI number?

The NPI number for Kathleen Davis is 1750764932. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Kathleen Davis located?

Kathleen Davis practices at 120 Oakside Ct, Canton, GA 30114. The listed phone number is (678) 880-8770.

What is Kathleen Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathleen Davis was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.