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

Kourtney Davis

Individual provider Family Nurse Practitioner · NPI 1932864477

Kourtney Davis is a Nurse Practitioner in Cumming, Georgia. Qualified in 2021, 5 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

2575 Peachtree Pkwy
Cumming, GA 30041-7559
Phone: (678) 471-9394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP269474 (GA)

Record details

NPI number1932864477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2021
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address2575 Peachtree Pkwy, Cumming, GA 30041-7559

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cumming