Ms Ellyn Catrina Davis, is a
Social Worker - Clinical based in Pine Lake, Georgia. Ms Ellyn Catrina Davis is licensed to practice in Georgia (license number CSW005695) and her current practice location is
498 Spring Drive, Pine Lake, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 438-8434.
NPI number for Ms Ellyn Catrina Davis is 1134071210 and her current mailing address is Po Box 1231, Pine Lake, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134071210.
Healthcare Provider's Profile
| Full Name | Ms Ellyn Catrina Davis |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 498 Spring Drive, Pine Lake, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134071210
- Provider Enumeration Date: 02/11/2026
- Last Update Date: 02/11/2026
Medical Identifiers
Medical identifiers for Ms Ellyn Catrina Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134071210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | CSW005695 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ellyn Catrina Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Ellyn Catrina Davis, Po Box 1231, Pine Lake, GA 30072-1231 Ph: (404) 438-8434 | Ms Ellyn Catrina Davis, 498 Spring Drive, Pine Lake, GA 30072-1231 Ph: (404) 438-8434 |
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