Mr Clinton Davis Jr, NP - Medicare Nurse Practitioner in Stone Mountain, GA

Mr Clinton Davis Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Stone Mountain, Georgia. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Acs Primary Care Physicians - Southeast Pc and his current practice location is 712 Garden View Dr, Stone Mountain, Georgia. You can reach out to his office (for appointments etc.) via phone at (804) 909-1228.

Mr Clinton Davis Jr is licensed to practice in Georgia (license number RN334088) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134007677.

Contact Information

Mr Clinton Davis Jr, NP
712 Garden View Dr,
Stone Mountain, GA 30083-3540
(804) 909-1228
Not Available

Map and Direction




Provider's Profile

Full NameMr Clinton Davis Jr
GenderMale
SpecialityNurse Practitioner
Experience2 Years
Location712 Garden View Dr, Stone Mountain, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Clinton Davis Jr graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1134007677
  • Provider Enumeration Date: 08/22/2025
  • Last Update Date: 08/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577048008
  • Enrollment ID: I20260401002506

Medical Identifiers

Medical identifiers for Mr Clinton Davis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134007677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN334088 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians - Southeast Pc5193620714411

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. Mr Clinton Davis Jr 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 AddressPractice Location Address
Mr Clinton Davis Jr, NP
712 Garden View Dr,
Stone Mountain, GA 30083-3540

Ph: (804) 909-1228
Mr Clinton Davis Jr, NP
712 Garden View Dr,
Stone Mountain, GA 30083-3540

Ph: (804) 909-1228

Reviews and Comments


Nurse Practitioner Nurses in Stone Mountain, GA

Wendy Woodward Schaal, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083
Phone: 404-508-6499    
Ms. Kenisha Francisco, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087
Phone: 470-444-3134    Fax: 470-276-4370
Julie Noelle Knisely, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083
Phone: 404-298-8998    
Nikeisha Clevia Oliver,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087
Phone: 770-413-1476    
Andrea Zmaj, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083
Phone: 770-322-6161    
Mr. Justin Stewart Kitchens, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5405 Memorial Dr Ste D, Stone Mountain, GA 30083
Phone: 404-296-3800    Fax: 404-297-8753
Marc Elie Cayemitte, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5462 Memorial Dr Ste 101, Stone Mountain, GA 30083
Phone: 470-544-0854    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.