DR. CHARLES WAYNE DAVIS (NPI# 1336241645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336241645 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WAYNE DAVIS |
| Credential | M.D. |
| Practice Address |
3 Magnolia Ct Moultrie GA 31768-6764 |
| Mailing Address |
Po Box 2169 Moultrie GA 31776-2169 |
| Practice Telephone | 2298919028 |
| Practice Fax Number | 2298919033 |
| Mailing Telephone | 2298919028 |
| Mailing Fax Number | 2298919033 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2009-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036954 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000543595A | 05 | |
| GA | 000543595B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726435 | Charles Wayne Davis | Pharmacist | 1900 Patterson St Ste 200, Nashville, TN 37203-2167 | 2018-10-17 |
| 1588073175 | Charles R. Davis Jr. | Home Health Aide | 436 E Carpenter Dr, New Carlisle, OH 45344-2529 | 2014-08-07 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1285055715 | Charles Andre Davis | Counselor | 1211 Putnam Ave, Brooklyn, NY 11221-4909 | 2013-12-31 |
| 1154669026 | Charles King Davis Jr. | Surgery | 755 Woodland Dr, Paducah, KY 42001-4677 | 2013-01-28 |
| 1417260936 | Charles A Davis Jr. | Dentist | 303 S Boulevard, Apt 10, Richmond, VA 23220-5769 | 2010-07-26 |
| 1417287160 | Charles F Davis | Physical Therapist | 232 Oleander Ave, Palm Beach, FL 33480-3807 | 2009-12-31 |
| 1548427818 | Charles M Davis Jr. | Pharmacist | 2530 Marilyn St, Pocatello, ID 83201-8022 | 2008-05-22 |
| 1174719033 | Charles Henry Davis | Orthotist | 4859 Shed Rd, Suite 200, Bossier City, LA 71111 | 2007-09-24 |
| 1831306349 | Charles Gentry Davis Jr. | Dentist | 331 De Baliviere Ave, Saint Louis, MO 63112-1803 | 2007-05-16 |
| Street Address |
3 MAGNOLIA CT |
| City | MOULTRIE |
| State | GA |
| Zip Code | 31768-6764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154823938 | Colquitt Regional Rheumatology, LLC | Internal Medicine | 3 Magnolia Ct, Moultrie, GA 31768-6764 | 2018-03-07 |
| 1932360682 | Saurabh Khakharia | Orthopaedic Surgery | 3 Magnolia Ct, Moultrie, GA 31768-6764 | 2008-06-24 |
| 1346413119 | Tiger Orthopedics, P.C. | Specialist | 3 Magnolia Ct, Moultrie, GA 31768-6764 | 2008-04-11 |
| 1588844716 | D.w. Adcock Orthopaedic Clinic, LLC | Specialist | 3 Magnolia Ct, Moultrie, GA 31768-6764 | 2007-11-05 |
| 1487757928 | Robert Andrew Bartosh | Specialist | 3 Magnolia Ct, Moultrie, GA 31768-6764 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975452 | Zachary Schiffer | Specialist/Technologist | 3131 S Main Street, Moultrie, GA 31768 | 2020-02-27 |
| 1326697731 | Daisy Concierge Care | Nursing Care | 437 S. Morris Rd Lt 1, Moultrie, GA 31768 | 2019-09-09 |
| 1194208751 | Regina Mercer Ward | Nurse Practitioner | 1724 Villa Dr Sw, Moultrie, GA 31768 | 2018-09-10 |
| 1225473630 | Moultrie Orthodontics, P.C. | Clinic/Center | 12 Longleaf Office Park, Moultrie, GA 31768 | 2013-04-30 |
| 1497032239 | Freds Stores of Tennessee Inc | Pharmacy | 2601 South Main Street, Moultrie, GA 31768 | 2011-11-08 |
| 1821382672 | Colquitt Regional Ob/gyn, LLC | Obstetrics & Gynecology | 3 Sweet Bay Ct, Moultrie, GA 31768 | 2011-06-08 |
| 1568779809 | Shana Goodno | Nurse Practitioner | 207 31 St Ave Se, Moultrie, GA 31768 | 2010-09-08 |
| 1508177445 | Cherokee Rose Emergency Physicians | Emergency Medicine | 3131 South Main Street, Moultrie, GA 31768 | 2010-06-25 |
| 1023299963 | Hetal Patel | Counselor | 600 2nd St South East, Moultrie, GA 31768 | 2007-11-20 |
| 1720146756 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
| Find all providers in zip 31768 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336397595 | Jeanphis Laguerre Md PC | Specialist | 3007b 2nd St Se, Moultrie, GA 31768-6798 | 2008-08-29 |
| 1447425830 | Mukul Khurana | Specialist | 780 26th Ave Se, Moultrie, GA 31768-6799 | 2008-04-25 |
| 1255596631 | First Choice Women's Care PC | Specialist | 15 Hospital Park, Moultrie, GA 31768-6772 | 2008-07-24 |
| 1154580512 | Colquitt Regional Anesthesia, LLC | Specialist | 3131 S Main St, Moultrie, GA 31768-6925 | 2008-06-02 |
| 1346413119 | Tiger Orthopedics, P.C. | Specialist | 3 Magnolia Ct, Moultrie, GA 31768-6764 | 2008-04-11 |
| 1588844716 | D.w. Adcock Orthopaedic Clinic, LLC | Specialist | 3 Magnolia Ct, Moultrie, GA 31768-6764 | 2007-11-05 |
| 1649475930 | Colquitt Regional Orthopedics, LLC | Specialist | 3131 S Main St, Moultrie, GA 31768-6925 | 2007-06-18 |
| 1861695579 | Moultrie Urological Clinic, Inc | Specialist | 2 Hospital Park, Moultrie, GA 31768-6700 | 2007-06-08 |
| 1083816128 | The Kirk Clinic LLC | Specialist | 8 Laurel Court, Moultrie, GA 31768 | 2007-06-01 |
| 1487757928 | Robert Andrew Bartosh | Specialist | 3 Magnolia Ct, Moultrie, GA 31768-6764 | 2006-09-07 |
| Find all providers in MOULTRIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.