Nicole Adriana Davidson, MD in Kennesaw, GA

Nicole Adriana Davidson, MD is a medicare enrolled "Pediatrics" physician in Kennesaw, Georgia. Her current practice location is 1180 Ernest W Barrett Pkwy Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 354-2273.

Nicole Adriana Davidson is licensed to practice in Georgia (license number 076327) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316382328.

Contact Information

	Nicole Adriana Davidson, MD
	1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144-4534
	(678) 354-2273
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Adriana Davidson
Gender	Female
Speciality	Pediatrics
Location	1180 Ernest W Barrett Pkwy Nw, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316382328
Provider Enumeration Date: 05/03/2013
Last Update Date: 06/30/2016

Medicare PECOS Information:

PECOS PAC ID: 4183926249
Enrollment ID: I20160802003201

Medical Identifiers

Medical identifiers for Nicole Adriana Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316382328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	076327 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Adriana Davidson allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Nicole Adriana Davidson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Adriana Davidson, MD 1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144-4534 Ph: (678) 354-2273	Nicole Adriana Davidson, MD 1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144-4534 Ph: (678) 354-2273

Reviews and Comments

Pediatrics Doctors in Kennesaw, GA

Brandi Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1180 Ernest W Barrett Pkwy Nw Ste 102b, Kennesaw, GA 30144 Phone: 678-354-2273
Krishna Eechampati, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090
Dr. Kimberly Dao-king, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kennesaw, GA 30144 Phone: 800-611-1811
Karen Spencer Thrower, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St, Ste 401, Kennesaw, GA 30144 Phone: 770-429-1005 Fax: 770-429-8005
Anabelle Monroe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Pediatrics Health Care Team A, 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5455 Fax: 770-514-5444
Constance Enmon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090
Bryana Ferris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144 Phone: 678-354-2273 Fax: 770-794-6652

Nicole Adriana Davidson, MD - Medicare Pediatrics in Kennesaw, GA