MEDICARE: DAVIS FAMILY ENTERPRISES, INC.

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	101YP2500X	Professional Counselor	1470	GA
2	106H00000X	Marriage & Family Therapist	717	GA

General Provider Information

NPI Number	:	1245383892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVIS FAMILY ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 48867
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30604-8867
Country	:	US
Telephone Number	:	706-548-9850
Fax Number	:	706-549-9047

Provider Business Practice Location Address
First Line	:	160 YONAH AVE
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30601-1740
Country	:	US
Telephone Number	:	706-548-9850
Fax Number	:	706-549-9047

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS A. DAVIS
Credential	:	PH.D.
Telephone Number	:	706-548-9850

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	09/11/2025

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