ANGELA DAVIS LPC
NPI 1992351654
Counselor - Mental Health in Smyrna, GA
About Angela Davis Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA DAVIS LPC (NPI 1992351654) is an individual mental health provider in Smyrna, Georgia, licensed in Georgia (LPC011237) and active in the NPI registry since August 2019. She has opted out of Medicare through March 13, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Angela Davis Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 13, 2024 through March 13, 2028.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SMYRNA, GA 30080
SMYRNA, GA 30080
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 Angela Davis's NPI number?
The NPI number for Angela Davis is 1992351654. It was assigned to this individual provider in the NPPES registry on August 16, 2019.
Where is Angela Davis located?
Angela Davis practices at 4045 Orchard Rd SE Ste 110, Smyrna, GA 30080. The listed phone number is (770) 293-1950.
What is Angela Davis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Angela Davis enrolled in Medicare?
No. Angela Davis has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Angela Davis was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Angela Davis, LPC · NPI 1992351654
Mental Health provider in Smyrna, Georgia. Individual provider, active in the CMS NPPES registry since August 16, 2019.
## Identity
- **NPI:** 1992351654 (Entity type: Individual)
- **Enumerated:** August 16, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC011237 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4045 ORCHARD RD SE STE 110, Smyrna, GA 30080-4904
- **Phone:** (770) 293-1950
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 13, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 20, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1992351654) · Data from the CMS NPPES public registry.