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Deactivated NPI 1376813808 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Stephen Davis , MD

Specialist • Atlanta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 30, 2011
NPI Deactivation Date June 07, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Davis, MD was a registered Specialist practicing in Atlanta, GA. Throughout an active medical career spanning 12 years, Dr. Davis provided care at the practice location at 4453 MOUNT PARAN PKWY NW until profile deactivation on 2023-06-07.

Practice Location & Contact Primary Location

Practice Address

4453 Mount Paran Pkwy Nw

Atlanta, GA 303273721

Telephone 4045563359

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.9 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
221 Specialists

Practicing in Atlanta, GA (979 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 15084

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 07, 2023

Record deactivated on June 07, 2023

NPI Profile Active December 30, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2011

Registered at 4453 MOUNT PARAN PKWY NW, ATLANTA, GA 303273721 (Tel: 4045563359)

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Updated Business Mailing Address December 30, 2011

Registered at 4453 MOUNT PARAN PKWY NW, ATLANTA, GA 303273721 (Tel: 4045563359)

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Provider Name / Credentials Updated December 30, 2011

Recorded as MARK DAVIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2011

Specialist (License #15084 in GA)

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Initial NPI Registration & Enumeration December 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376813808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2011
Last Update: December 30, 2011
Deactivation Date: June 07, 2023

Mailing Address

4453 Mount Paran Pkwy Nw

Atlanta, GA 303273721

Phone: 4045563359

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.