Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derick C Davis

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1821626052

Derick C Davis is a Physical Medicine and Rehabilitation in Atlanta, Georgia. Graduated from University of Missouri, Columbia School of Medicine in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

5555 Peachtree Dunwoody Rd Ste G65
Atlanta, GA 30342-1710
Phone: (404) 843-3323
Fax: (404) 574-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 103808 (GA)

Record details

NPI number1821626052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address152 Color Cir, Atlanta, GA 30317-2538

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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