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DERRICK CAMERON DAVIS JR.
NPI 1821960477
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since September 23, 2025
2222 WILMINGTON CIR NE, MARIETTA, GA 30062(404) 820-0103 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Derrick Cameron Davis Jr. NPPES

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

DERRICK CAMERON DAVIS JR. (NPI 1821960477) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1821960477
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDERRICK CAMERON DAVIS JR.
Location Address2222 WILMINGTON CIR NEMarietta, GA 30062-1695
Mailing Address2222 Wilmington Cir NeMarietta, GA 30062-1695
Phone(404) 820-0103
Sole ProprietorYes
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1821960477 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
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.
2222 WILMINGTON CIR NE, Marietta, GA 30062
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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 Derrick Davis's NPI number?

The NPI number for Derrick Davis is 1821960477. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Derrick Davis located?

Derrick Davis practices at 2222 Wilmington Cir NE, Marietta, GA 30062. The listed phone number is (404) 820-0103.

What is Derrick 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 Derrick Davis was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.