P Praxis·MD
● Active Type 1 · Individual

DR. Jacob Evan Davis, MD, MSC, CAQSM

Family Medicine·Atlanta, GA· NPI 1679032429 · Enumerated 2019 · 7 years on NPI
Davis is 1 of 14 family medicine providers in Atlanta and 1 of 66 in Georgia.
NPI age
7 years
Enumerated 2019-03-19
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 66 active family medicine providers in Georgia.

NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
54% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
740 Ferst Drive
Atlanta, GA 303322248
📞 4048941420
Mailing address
57 Executive Park South Ne
Atlanta, GA 303292288

Additional practice locations

1 secondary location on file with NPPES.

Location 2
57 Executive Park South Ne Ste 120
Atlanta, GA 303292248
📞 4047784572

Specialties

  • Family Medicine Primary
    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
    GA license #92855 taxonomy 207QS0010X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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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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