Active NPI 1578517876 Individual Practitioner Female Practitioner

Melissa M Davidson , PA

Physician Assistant • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Melissa Davidson, PA is a registered healthcare professional specializing in Physician Assistant in Marietta, GA. Practice services are available at 4800 OLDE TOWNE PKWY STE 150A under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4800 Olde Towne Pkwy Ste 150a

Marietta, GA 300684357

Telephone 7705091025

Fax 7705091884

Associated Practice Facility / Clinic

🏢 Northside Urgent Care Facility NPI 1518905108

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Marietta, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.6 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

210 Specialists

Practicing in Marietta, GA (4726 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	45	45	$981.00	$105.91
99285 Emergency department visit for life threatening or functioning severity	44	44	$1450.00	$153.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$111.00	$7.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	66	66	$981.00	$103.45
99285 Emergency department visit for life threatening or functioning severity	51	51	$1450.00	$150.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	27	27	$111.00	$6.93
99283 Emergency department visit with low level of medical decision making	13	13	$653.00	$61.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	46	46	$111.00	$7.07
99285 Emergency department visit for life threatening or functioning severity	39	39	$1450.00	$152.33
99283 Emergency department visit with low level of medical decision making	14	14	$653.00	$61.92
99284 Emergency department visit with moderate level of medical decision making	13	13	$981.00	$104.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	85	85	$1450.00	$154.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	57	56	$111.00	$7.18
99283 Emergency department visit with low level of medical decision making	31	31	$653.00	$62.31
99284 Emergency department visit with moderate level of medical decision making	20	20	$981.00	$105.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	98	98	$1450.00	$150.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	44	43	$111.00	$7.36
99283 Emergency department visit with low level of medical decision making	31	31	$653.00	$56.27
99284 Emergency department visit with moderate level of medical decision making	26	26	$981.00	$103.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	69	67	$1450.00	$148.49
99283 Emergency department visit with low level of medical decision making	52	52	$653.00	$52.37
99284 Emergency department visit with moderate level of medical decision making	38	38	$981.00	$100.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	54	54	$653.00	$52.99
99285 Emergency department visit for life threatening or functioning severity	46	46	$1450.00	$148.07
99284 Emergency department visit with moderate level of medical decision making	43	43	$981.00	$100.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$314.00	$91.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	48	48	$923.34	$99.79
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	33	33	$95.45	$7.21
99285 Emergency department visit for life threatening or functioning severity	29	29	$1397.45	$147.28
99283 Emergency department visit with low level of medical decision making	18	18	$540.22	$52.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$314.00	$91.04

Medical Specialties & State Licenses

CMS Verified: 2021-02-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 002192

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License GA 002192

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100001575B (GA)

Medicaid State Provider ID

100001575C (GA)

Medicaid State Provider ID

100001575 (GA)

Commercial Insurance / Payer ID Amerigroup

10038125 (GA)

Commercial Insurance / Payer ID Wellcare

333457 (GA)

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Joseph Braintwain , MD

Emergency Medicine

NPI 1003854084

Doctor of Medicine (M.D.)

Esther Klein , CNP

Nurse Practitioner - Family

NPI 1225484165

Certified Nurse Practitioner

Meredith Stauch , NP

Nurse Practitioner - Family

NPI 1235516303

Nurse Practitioner

Dr. Tracey Wallace , MD

Family Medicine

NPI 1265475206

Doctor of Medicine (M.D.)

Kristen Healy , PA

Physician Assistant

NPI 1386688943

Physician Assistant

Pamela Asadi , PA-C

Physician Assistant

NPI 1427018068

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2021

Physician Assistant (License #002192 in GA)

✅

NPI Profile Active November 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 06, 2017

Registered at 4800 OLDE TOWNE PKWY STE 150A, MARIETTA, GA 300684357 (Tel: 7705091025)

📍

Updated Business Mailing Address November 06, 2017

Registered at PO BOX 2968, KENNESAW, GA 301569117 (Tel: 7707790015)

👤

Provider Name / Credentials Updated November 06, 2017

Recorded as MELISSA DAVIDSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2017

Physician Assistant (License #002192 in GA)

✅

NPI Profile Active November 12, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2008

Registered at 1000 JOHNSON FERRY RD NE, ATLANTA, GA 303421606 (Tel: 4048518000)

📍

Updated Business Mailing Address November 12, 2008

Registered at PO BOX 2968, KENNESAW, GA 301569117 (Tel: 7707790015)

👤

Provider Name / Credentials Updated November 12, 2008

Recorded as MELISSA DAVIDSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2008

Physician Assistant (License #002192 in GA)

🟢

Initial NPI Registration & Enumeration May 20, 2006

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: 1578517876

Entity Type:

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

Enumeration Date: May 20, 2006

Last Update: February 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2968

Kennesaw, GA 301569117

Phone: 7707790015

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.