JAMIL EMAN DAVIS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1376882191

JAMIL EMAN DAVIS (PMHNP) is a healthcare provider. based in Riverdale, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 188113 (GA). The NPI Number for JAMIL EMAN DAVIS (PMHNP) is 1376882191

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JAMIL EMAN DAVIS (PMHNP)
NPI
1376882191
Phone
(229) 395-8243
Address
7574 HIGHWAY 85
Enumeration Date
14 February 2013
Last Update Date
26 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9127055483
Graduation Year
2012 (14 years ago)
PAC ID
3274778568
Group Practice PAC ID
8820442247
Professional Enrollment ID
I20130313000553
Address ID
GA315138079BA224XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JAMIL EMAN DAVIS (PMHNP)

  • 7574 HIGHWAY 85

    RIVERDALE, GA 302743447

    Phone: (229) 395-8243

    Fax: (770) 284-6612

    Type: Mailing

  • 1307 Brixworth Pl NE

    Atlanta, GA 303195314

    Phone: (229) 395-8243

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Alkermes, Inc. ($36).

Total Amount

$102

General + Research + Ownership

Payments

5

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2013-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130313000553INurse PractitionerGATBD

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 30274)

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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: 8820442247View full group profile
NameSpecialtyState
Family PracticeGA
Family PracticeGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do payers reference JAMIL EMAN DAVIS (PMHNP)?
For JAMIL EMAN DAVIS (PMHNP), use NPI 1376882191 as the unique 10-digit identifier.
Is there an active status for JAMIL EMAN DAVIS (PMHNP)?
For scheduling context, JAMIL EMAN DAVIS (PMHNP) is shown as active in the registry.
What kind of doctor is JAMIL EMAN DAVIS (PMHNP)?
JAMIL EMAN DAVIS (PMHNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is JAMIL EMAN DAVIS (PMHNP) located near Riverdale?
JAMIL EMAN DAVIS (PMHNP) currently maps to Riverdale, Georgia in this extract.
When was this NPI issued?
Enumeration for JAMIL EMAN DAVIS (PMHNP) is noted as February 14, 2013 where the registry provides it.

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