KATHLEEN DAVIS NP-C NPI 1750764932

NPI Information

  • NPI: 1750764932
  • Provider Name: KATHLEEN DAVIS, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 120 OAKSIDE CT
    CANTON, GA
    ZIP 30114
  • Phone: (678) 880-8770

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NPI Details

Kathleen Davis, NP-C is a family nurse practitioner in Canton, GA. Kathleen Davis, NP-C NPI is 1750764932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 OAKSIDE CT
CANTON, GA
ZIP 30114-471
Phone: (678) 880-8770

The NPI 1750764932 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2015 and was last updated on 10/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes EducatorRN068065GEORGIANo
2363LF0000XNurse PractitionerFamilyRN068065GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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