Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Davis Prideaux Lakeman, PA-S

Individual provider Physician Assistant · NPI 1285371617

Davis Prideaux Lakeman, PA-S is a Physician Assistant in Atlanta, Georgia. Graduated from Mercer University School of Medicine in 2022, 4 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Phone: (404) 352-3110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5126 Hospital Dr Ne, Covington, GA 30014-2566 — (404) 605-5478

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11098 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1285371617
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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