Active NPI 1417425513 Individual Practitioner Female Practitioner

Celeste Davis , CPNP

Nurse Practitioner - Pediatrics • Loganville, GA

Professional Overview & Biography Verified Profile Summary

Celeste Davis, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Loganville, GA. Practice services are available at 297 COOPER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

297 Cooper Rd

Loganville, GA 300522518

Telephone 6783812630

Associated Practice Facility / Clinic

🏢 Grayson Pediatrics, Llc Facility NPI 1831500370

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Loganville, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 7.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Loganville, GA (929 Statewide)

Telehealth Adoption Rate

0.0% 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

CMS Verified: 2020-08-04

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License GA RN232264

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003215265A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Jamie Vill , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1265131502

CPNPPC

Kristen Peek , CPNP

Nurse Practitioner - Pediatrics

NPI 1427423094

Certified Pediatric Nurse Practitioner

Margaret Ellington , CPNP, MSN

Nurse Practitioner - Pediatrics

NPI 1588123889

Certified Pediatric Nurse Practitioner, Master of Science in Nursing

Rebecca Haynes , CPNP

Nurse Practitioner - Pediatrics

NPI 1629508783

Certified Pediatric Nurse Practitioner

Dr. Lacy Lally , DNP, FNP-C

Nurse Practitioner - Family

NPI 1710597927

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Kathryn Sawyer , CPNP

Nurse Practitioner - Pediatrics

NPI 1760873566

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address August 04, 2020

Registered at 297 COOPER RD, LOGANVILLE, GA 300522518 (Tel: 6783812630)

✅

NPI Profile Active November 06, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location November 06, 2018

Registered at 297 COOPER RD, LOGANVILLE, GA 300522518 (Tel: 6783812630)

📍

Updated Business Mailing Address November 06, 2018

Registered at 1243 SHYREFORD CIR, LAWRENCEVILLE, GA 300434475 (Tel: 7704026550)

👤

Provider Name / Credentials Updated November 06, 2018

Recorded as CELESTE DAVIS, CPNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2018

Nurse Practitioner (License #RN232264 in GA)

🟢

Initial NPI Registration & Enumeration November 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1417425513

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 06, 2018

Last Update: August 04, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

297 Cooper Rd

Loganville, GA 300522518

Phone: 6783812630

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.