Provider Demographics
NPI:1659393106
Name:DAVIS, CLAUDIA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:ANN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NGECHE
Other - Middle Name:ANN
Other - Last Name:FOBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3333 RIVERWOOD PKWY SE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3304
Mailing Address - Country:US
Mailing Address - Phone:770-914-0116
Mailing Address - Fax:770-955-4278
Practice Address - Street 1:1101 NORTEC DR SE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-5835
Practice Address - Country:US
Practice Address - Phone:678-374-7514
Practice Address - Fax:678-374-7517
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA52448207R00000X
MI4301076474207R00000X
GA052448207RH0002X
CAA82245207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA676562727CMedicaid
GA676562727CMedicaid