MEDICARE: DR. ASHLEY NOELLE DAVIS M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	P7420	TX
2	207V00000X	Obstetrics & Gynecology Physician	85996	GA

General Provider Information

NPI Number	:	1689800955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY NOELLE DAVIS M.D

Provider Business Mailing Address
First Line	:	2090 PALM BEACH LAKES BLVD STE 700
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6508
Country	:	US
Telephone Number	:	561-537-7502
Fax Number	:	561-318-0134

Provider Business Practice Location Address
First Line	:	371 E PACES FERRY RD NE STE 730
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2372
Country	:	US
Telephone Number	:	470-322-4113
Fax Number	:	470-322-4164

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	06/27/2025

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