P Praxis·MD
● Active Type 1 · Individual

MR. Clinton Davis JR., NP

Nurse Practitioner·Stone Mountain, GA· NPI 1134007677 · Enumerated 2025 · 0 years on NPI
Davis is 1 of 42 nurse practitioner providers in Stone Mountain and 1 of 8826 in Georgia.
NPI age
— years
Enumerated 2025-08-22
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
0 years
↓ 7 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-08Enumerated in NPPES
2025 2026

Where they practice

Practice location
712 Garden View Dr
Stone Mountain, GA 300833540
📞 8049091228
Mailing address
712 Garden View Dr
Stone Mountain, GA 300833540
📞 8049091228

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN334088 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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