NPI age
2 years
Enumerated 2023-08-29
● Active Type 2 · Organization
Subpart
Myrtle Davenport Healthcare Services Llc
Myrtle Davenport Healthcare Services Llc is 1 of 1678 psychiatry & neurology organizations in Georgia.
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davenport
Nurse Practitioner/owner
Last NPPES update
2023-08-29
Source: monthly bulk 2026-05
How this organization compares
Across 1678 active psychiatry & neurology providers in Georgia.
NPI age
2 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-08Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
200 Oxford Ln
Fayetteville, GA 302155317
Mailing address
200 Oxford Ln
Fayetteville, GA 302155317
Authorized official
Myrtle Howard Davenport, APRN, NP-C, PMHNP-BC
Nurse Practitioner/owner
📞 6782034595
Specialties
-
Psychiatry & Neurology PrimaryA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MD Behavioral and Wellness
Practice context
Single-site organization. Only one practice location on file.
Subpart of Myrtle Davenport Healthcare Services Llc.
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