WILLETTE CHRISTINE DAVIS (MD) – Internal Medicine Physician, NPI 1205901410

WILLETTE CHRISTINE DAVIS (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD25852 (ME). The NPI Number for WILLETTE CHRISTINE DAVIS (MD) is 1205901410

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
WILLETTE CHRISTINE DAVIS (MD)
NPI
1205901410
Phone
(678) 305-0760
Address
612 ADAMS LAKE BLVD SE
Enumeration Date
22 November 2006
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
4688628183
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20080703000542
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for WILLETTE CHRISTINE DAVIS (MD)

  • 612 ADAMS LAKE BLVD SE

    ATLANTA, GA 303393366

    Phone: (678) 305-0760

    Type: Location

  • 2001 W 86th St

    Indianapolis, IN 462601902

    Phone: (317) 338-2345

    Type: Location

  • 6 Glen Cove Dr

    Rockport, ME 048564272

    Phone: (207) 301-8542

    Fax: (207) 301-5277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Genentech USA, Inc. ($22).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050308000806IHospitalistGATBD
I20080703000542IInternal MedicineINTBD
I20220318001377IInternal MedicineILTBD
I20250411003285IInternal MedicineMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30339)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

What is the registry number for WILLETTE CHRISTINE DAVIS (MD)?
The registry entry for WILLETTE CHRISTINE DAVIS (MD) shows NPI 1205901410.
Should I treat WILLETTE CHRISTINE DAVIS (MD) as an active provider?
Patients and plans typically see WILLETTE CHRISTINE DAVIS (MD) as active in the national extract.
What type of care does WILLETTE CHRISTINE DAVIS (MD) provide?
WILLETTE CHRISTINE DAVIS (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WILLETTE CHRISTINE DAVIS (MD)?
WILLETTE CHRISTINE DAVIS (MD) is associated with Atlanta, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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