George Edwin Davis, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

NM88-19 Issued in NM

Practice address

1002 Idlewilde LN SE
Albuquerque, NM 87108-3446

Phone

(505) 270-7479

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013005925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE STE 2222",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064375",
            "telephone_number": "505-272-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 IDLEWILDE LN SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083446",
            "telephone_number": "505-270-7479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5312 Jaguar Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875071827",
            "country_code": "US",
            "telephone_number": "505-820-0262",
            "fax_number": "505-820-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GEORGE",
        "middle_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "NM88-19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S5731",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A. Davis, M.D.
• Deanna Davis
• Esther D Davis, PH.D.
• Gail Davis
• Genevieve Jo Gutierrez Davis, APRN
• Geri Davis, NP
• Hayley M Davis, PT
• Jalene Michelle Davis, MOTR/L
• Jennifer Davis, RN
• Jennifer Davis, LCSW

• Child & Adolescent Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Child & Adolescent Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.