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

Kevin Davis

Individual provider Anesthesiologist Assistant · NPI 1013681303

Kevin Davis is an Anesthesiology Assistant in Atlanta, Georgia. Qualified in 2021, 5 years ago. Practices with Trident Anesthesia Group LLC, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone: (404) 851-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2095 Henry Tecklenburg Dr, Charleston, SC 29414 — (843) 402-1436

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 98 (SC)

Record details

NPI number1013681303
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing addressPo Box 603484, Charlotte, NC 28260-3484

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Trident Anesthesia Group Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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