Active NPI
Davis Andrew Wood, DO
- Emergency Medicine Physician
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS19226
- Practice address
- Gordon Ave. at, Mimosa Dr.
Thomasville, GA 31792 - Phone
- (229) 228-2000
- NPI assigned
- Mar 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS19226 | FL | Primary |
Addresses
Primary practice location
Gordon Ave. at, Mimosa Dr.
Thomasville, GA 31792
Mailing address
2001 Kingsley Ave
Orange Park, FL 32073-5156
Phone (904) 639-2000
Other practice location 1
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230811001729 | GA | Practitioner - Emergency Medicine | 2466814157 | Reassigns benefits to 1 organization |
| I20240306004212 | FL | Practitioner - Emergency Medicine | 2466814157 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Georgia Emergency Medicine Associates PC
Practice addresses (Care Compare)
915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 259-4678
Hospital & facility affiliations
- Archbold Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| South Georgia Emergency Medicine Associates PC | Emergency Medicine | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1386903649
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
Emergency Medicine, FL
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
Hospital
-
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1124654157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735156",
"telephone_number": "904-639-2000",
"fax_number": "904-639-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GORDON AVE. AT, MIMOSA DR.",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "31792",
"telephone_number": "229-228-2000"
}
],
"practiceLocations": [
{
"address_1": "2001 Kingsley Ave",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735148",
"country_code": "US",
"telephone_number": "904-639-2000",
"fax_number": "904-639-2015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "DAVIS",
"middle_name": "ANDREW",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-21",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS19226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.