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

Victoria Davis

Individual provider Occupational Therapist · NPI 1104716729

Victoria Davis is an Occupational Therapist in Private Practice in Fayetteville, Georgia. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

290 Highway 314 Ste B
Fayetteville, GA 30214-7813
Phone: (404) 994-7727
Fax: (404) 994-7728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT009576 (GA)

Record details

NPI number1104716729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address4701 Flat Shoals Rd Apt 15c, Union City, GA 30291-2117

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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