NPIMap

Organization Active NPI

Jan Davis MD, LLC

  • Anesthesiology Physician
  • Savannah, GA
National Provider Identifier
1154358455
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
041515 Issued in GA
Legal business name
JAN DAVIS MD, LLC
Practice address
11 Sundew Rd
Savannah, GA 31411-2955
Phone
(912) 598-7796
Fax
(912) 598-8452
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. Jan Davis, MD
Title
Owner
Phone
(912) 598-7796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 041515 GA Primary

Addresses

Primary practice location

11 Sundew Rd
Savannah, GA 31411-2955

Mailing address

11 Sundew Rd
Savannah, GA 31411-2955
Phone (912) 598-7796

Other identifiers 1

IdentifierTypeStateIssuer
998186252AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1154358455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SUNDEW RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112955",
            "telephone_number": "912-598-7796",
            "fax_number": "912-598-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SUNDEW RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112955",
            "telephone_number": "912-598-7796",
            "fax_number": "912-598-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN DAVIS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-598-7796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "041515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998186252A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.