RYAN CLIFFORD DAVIS (NPI# 1386256238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386256238 |
| Entity Type | Individual |
| Full Name | RYAN CLIFFORD DAVIS |
| Practice Address |
102 S 1st St Jesup GA 31545-1171 |
| Mailing Address |
3200 N Oak Street Ext Valdosta GA 31605-6473 |
| Practice Telephone | 9125881035 |
| Mailing Telephone | 2292472553 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 032013 | GA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 N Oak Street Ext, Valdosta, GA 316056473 | 2292472553 | |
| 4575 Altama Ave, Brunswick, GA 315203008 | 9122612593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419237 | Ryan Davis | Physical Therapist | 1701 S Waverly Rd Ste 101, Lansing, MI 48917-4300 | 2020-08-26 |
| 1801200498 | Ryan Davis | Case Manager/Care Coordinator | 2875 James Blvd, Poplar Bluff, MO 63901-3395 | 2014-06-11 |
| 1225399553 | Ryan Davis | Specialist/Technologist | 1709 Campus Dr, Vestal, NY 13850-4040 | 2012-06-04 |
| 1710120621 | Ryan Matthew Davis | Dentist | 2d Denbn/ndc 2dmlg, Pcs Box 20130, Camp Lejeune, NC 28542-0130 | 2009-04-08 |
| 1841437647 | Ryan T Davis | Specialist/Technologist | 103 E Lincoln St, Unit G, Normal, IL 61761-1442 | 2009-01-15 |
| 1396916649 | Ryan James Davis | Dentist | 1717 W Candletree Dr Ste A, Peoria, IL 61614-1592 | 2008-03-14 |
| 1871613364 | Ryan Kory Davis | Psychiatry & Neurology | 6 Oleary Way, 83, Boston, MA 02130-3759 | 2007-03-30 |
| 1801982988 | Ryan Davis | Dentist | 700 Belford Ave, Ste 101, Grand Junction, CO 81501 | 2006-10-05 |
| 1851408033 | Ryan James Davis | Chiropractor | 204 Nw 5th St, Grand Rapids, MN 55744-2607 | 2006-08-24 |
| 1780284570 | Ryan Davis | Dentist | 2330 S Lamar Blvd Ste 300, Austin, TX 78704-5265 | 2020-10-29 |
| Street Address |
102 S 1ST ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457743858 | Tonya Hamilton | Pharmacist | 102 S 1st St, Jesup, GA 31545-1171 | 2015-02-23 |
| 1821480328 | Jessica Walker | Pharmacist | 102 S 1st St, Jesup, GA 31545-1171 | 2015-02-20 |
| 1730515008 | William C Hillis | Pharmacist | 102 S 1st St, Jesup, GA 31545-1171 | 2013-09-18 |
| 1033491071 | Phillip Jonas Carver | Pharmacist | 102 S 1st St, Jesup, GA 31545-1171 | 2011-09-15 |
| 1104145796 | Carl Chris Harris Sr. | Pharmacist | 102 S 1st St, Jesup, GA 31545-1171 | 2010-05-22 |
| 1982858718 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 102 S 1st St, Jesup, GA 31545-1171 | 2008-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598084311 | Nina Leah Watson | Pharmacist | 2600 Hwy 301 S, Jesup, GA 31599-0001 | 2010-05-18 |
| 1558312017 | Alan Millard Jones | Pharmacist | 106 E Cherry St, Jesup, GA 31546-4643 | 2006-05-12 |
| 1609476662 | Jade Elizabeth Morris | Pharmacist | 1100 N 1st St, Jesup, GA 31545-0046 | 2020-10-29 |
| 1265032635 | Remley Highsmith | Pharmacist | 1100 N 1st St, Jesup, GA 31545-0046 | 2020-10-27 |
| 1346806221 | Lawanda Brooke Smith | Pharmacist | 955 S 1st St, Jesup, GA 31545-0331 | 2019-05-15 |
| 1013573179 | Jeffrey Padgett | Pharmacist | 955 S 1st St, Jesup, GA 31545-0331 | 2019-05-14 |
| 1457743858 | Tonya Hamilton | Pharmacist | 102 S 1st St, Jesup, GA 31545-1171 | 2015-02-23 |
| 1821480328 | Jessica Walker | Pharmacist | 102 S 1st St, Jesup, GA 31545-1171 | 2015-02-20 |
| 1659775864 | Magan Ogden Hillyard | Pharmacist | 101 Peachtree St, Jesup, GA 31545-0211 | 2014-10-17 |
| 1730515008 | William C Hillis | Pharmacist | 102 S 1st St, Jesup, GA 31545-1171 | 2013-09-18 |
| Find all providers in JESUP | ||||
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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.