Anthony B Davis Sr. (NPI# 1285722991, PAC ID# 9931156338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1285722991 |
PAC ID by PECOS | 9931156338 |
Professional Enrollment ID | I20050407000684 |
Full Name | Anthony B Davis Sr. |
Organization Legal Name | COLQUITT REGIONAL UROLOGY LLC |
Address |
4 Live Oak Ct Moultrie GA 31768-6783 |
Phone Number | 2298919131 |
Gender | M |
Credential | PA |
Graduation Year | 1990 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 0840455192 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110105 | COLQUITT REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4 Live Oak Ct, Moultrie, GA 31768-6783 | 2298919131 | COLQUITT REGIONAL UROLOGY LLC |
Organization Legal Name | COLQUITT REGIONAL UROLOGY LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emerson E Harrison | Urology | Colquitt Regional Urology LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Walter W Wilfong | Urology | Colquitt Regional Urology LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Street Address |
4 LIVE OAK CT |
City | MOULTRIE |
State | GA |
Zip | 31768-6783 |
Name | Specialty | Organization | Address |
---|---|---|---|
Phyllis Hughes | Nurse Practitioner | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Emerson E Harrison | Urology | Colquitt Regional Urology LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Amber Joy Holt | General Surgery | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Amanda D Strickland | Nurse Practitioner | Colquitt Regional Gastroenterology, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Dexter Wayne Love | Orthopedic Surgery | Sterling Orthopedics LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Howard Laney Melton | General Surgery | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Mauricio Carballo | Gastroenterology | Colquitt Regional Gastroenterology, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Robert Brown | General Surgery | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Cheau Williams | Obstetrics/gynecology | Colquitt Regional Ob/gyn, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Stephanie Diers | Nurse Practitioner | Colquitt Regional Surgery, LLC | 4 Live Oak Ct, Moultrie, GA 31768-6783 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel B Wright | Nurse Practitioner | Turning Point Care Center LLC | 705 5th Ave Se, Moultrie, GA 31768-2705 |
Muhammad M Alam | Psychiatry | Turning Point Care Center LLC | 705 5th Ave Se, Moultrie, GA 31768-2705 |
Lauren K Rowe | Optometry | South Georgia Eye Partners PC | 115 5th St Se, Moultrie, GA 31768-4834 |
Carl F Sircy Iii | Chiropractic | 714 S Main St, Moultrie, GA 31768-5433 | |
Laurie Mcdaniel Scarrow | Qualified Audiologist | 27 8th Seave, Moultrie, GA 31768-5500 | |
Benajah Pierce Marion | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
Elizabeth Olds Marston | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
Samuel Marion | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
Ying Wang | Physician Assistant | Turning Point Care Center LLC | 20 11th Ave Se, Moultrie, GA 31768-5650 |
Laura F Mullis | Clinical Social Worker | Turning Point Care Center LLC | 20 11th Ave Se, Moultrie, GA 31768-5650 |
Find all physicians in zip 31768 |
City | MOULTRIE |
Zip Code | 31768 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | MOULTRIE + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.