ANGELA MARIE DAVIS (NPI# 1760689319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760689319 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE DAVIS |
| Credential | M.D. |
| Practice Address |
23702 Hwy 80 E Statesboro GA 30461-0845 |
| Mailing Address |
12 Myrtle Ln Statesboro GA 30458-8506 |
| Practice Telephone | 9124894090 |
| Practice Fax Number | 9127645028 |
| Mailing Telephone | 9124894090 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 062032 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9100 White Bluff Rd Ste 603, Savannah, GA 314064674 | 9123556472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1477119659 | Angela Kay Davis | Registered Nurse | 5270 County Road 147, Leesburg, AL 35983-4905 | 2019-05-14 |
| 1689131658 | Angela Davis | Case Manager/Care Coordinator | 6307 Timberman Pl, Shreveport, LA 71119-7230 | 2019-02-26 |
| 1649745621 | Angela Davis | Registered Nurse | 3221 Keller Springs Rd Apt 2201, Carrollton, TX 75006-5144 | 2018-10-05 |
| 1992296768 | Angela Venetta Davis | Nurse Practitioner | 4150 W Peoria Ave Ste 121, Phoenix, AZ 85029-3951 | 2018-05-28 |
| 1316437403 | Angela N Davis | Music Therapist | 1250 Elizabeth Ave Ste 2, West Palm Beach, FL 33401-6929 | 2018-05-14 |
| 1538513841 | Angela Davis | Counselor | 10324 Commons Xing, Jonesboro, GA 30238-8066 | 2016-04-22 |
| 1124456314 | Angela Davis | Community Health Worker | 808 W Maple St, Wichita, KS 67213-5508 | 2013-10-24 |
| 1578878401 | Angela R Davis | Physical Therapist | 123 Cottsford Dr Sw, Atlanta, GA 30331-8376 | 2010-08-16 |
| Street Address |
23702 HWY 80 E |
| City | STATESBORO |
| State | GA |
| Zip Code | 30461-0845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104874031 | Thaddeus H Riley | Family Medicine | 23702 Hwy 80 E, Statesboro, GA 30458 | 2006-05-04 |
| 1710452677 | Malini Stewart | Dietitian, Registered | 23702 Hwy 80 E, Statesboro, GA 30461-0845 | 2018-10-08 |
| 1518337278 | Kelly Tillman | Nurse Practitioner | 23702 Hwy 80 E, Statesboro, GA 30461-0845 | 2015-10-06 |
| 1912259797 | Amy Jo Riggs | Dietitian, Registered | 23702 Hwy 80 E, Statesboro, GA 30461-0845 | 2012-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592765 | Scarlet Gabrielle Shumate | Student in an Organized Health Care Education/Training Program | 1332 Southern Dr., Statesboro, GA 30461 | 2016-12-06 |
| 1164972642 | Olivia Anne Chester | Occupational Therapist | 5968 Lakeview Road, Statesboro, GA 30461 | 2016-10-10 |
| 1760672653 | Dawn Miller | Social Worker | 9017 Oakfield Drive, Statesboro, GA 30461 | 2007-07-27 |
| 1619167608 | Timothy Rollins Ussery | Specialist/Technologist | 16741 Hwy 67 South, Suite 1-a, Statesboro, GA 30461 | 2007-07-26 |
| 1245444579 | Chen-wen Shih | Obstetrics & Gynecology | 4002 Denton Loop, Statesboro, GA 30461 | 2007-05-09 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1568480051 | Robert William Cushner | Podiatrist | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-07-17 |
| 1356619613 | Statesboro Ambulatory Surgery Center, Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2011-12-01 |
| 1497883243 | Jennifer Lea Williamson | Physician Assistant | 1012 Bermuda Run, Statesboro, GA 30461 | 2007-03-02 |
| 1467569376 | Statesboro Ambul Surg Ctr Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-08-24 |
| Find all providers in zip 30461 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942675863 | Southern Weight Loss Clinic, LLC | Family Medicine | 1098 Bermuda Run Ste 6, Statesboro, GA 30458-0878 | 2015-12-03 |
| 1174887004 | Iris Kalin Clark | Family Medicine | 1550 Brampton Ave, Ste B, Statesboro, GA 30458-0886 | 2012-06-26 |
| 1134439581 | Aaron Taylor Clark | Family Medicine | 117 Hill Pond Ln, Statesboro, GA 30458-0872 | 2010-10-19 |
| 1013245091 | Leslie Amanda Pittman | Family Medicine | 16741 Hwy 67, Suite A, Statesboro, GA 30458 | 2009-12-02 |
| 1528299393 | Southern Family Medicine of Georgia, LLC | Family Medicine | 1140 Brampton Ave, Statesboro, GA 30458 | 2009-07-28 |
| 1972684546 | Glen J. Dasher | Family Medicine | 1140 Brampton, Statesboro, GA 30458 | 2006-10-18 |
| 1821103482 | Christopher W Munger | Family Medicine | 23702 Hwy 80 East, Statesboro, GA 30458 | 2006-08-21 |
| 1841202868 | Brian Mixon Deloach | Family Medicine | 984 Plant Drive, Statesboro, GA 30460-0001 | 2006-08-12 |
| 1013921428 | Robert Moore Benson Jr. | Family Medicine | 4451 Country Club Rd, Suite 3a, Statesboro, GA 30458-9188 | 2006-07-28 |
| 1104874031 | Thaddeus H Riley | Family Medicine | 23702 Hwy 80 E, Statesboro, GA 30458 | 2006-05-04 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30461 |
Please comment or provide details below to improve the information on ANGELA MARIE DAVIS.
| 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.