Healthcare Provider Details

I. General information

NPI: 1104419738
Provider Name (Legal Business Name): CHAVONN DONE DAVIDSON-SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2021
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL STE R
SANDY SPRINGS GA
30350-2995
US

IV. Provider business mailing address

8735 DUNWOODY PL STE R
SANDY SPRINGS GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 404-445-0161
  • Fax: 404-564-9816
Mailing address:
  • Phone: 404-445-0161
  • Fax: 404-564-9816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN195874
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: