Healthcare Provider Details

I. General information

NPI: 1275071714
Provider Name (Legal Business Name): CLAUDIA AYODELE DAVIES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2017
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JESSE HILL JR DR SE
ATLANTA GA
30303-3050
US

IV. Provider business mailing address

5095 MOUNT ZION PKWY
STOCKBRIDGE GA
30281-7825
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-1000
  • Fax:
Mailing address:
  • Phone: 770-507-0576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN135667
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: