Individual provider Active NPI

Georganna Davis, MD

  • Procedural Dermatology Physician
  • Houston, TX
National Provider Identifier
1205059342
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
M6095 Issued in TX
Practice address
6560 Fannin
Suite 724
Houston, TX 77030-2768
Phone
(713) 790-0058
Fax
(713) 790-0410
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X M6095 TX Primary

Addresses

Primary practice location

6560 Fannin
Suite 724
Houston, TX 77030-2768

Mailing address

6560 Fannin
Suite 724
Houston, TX 77030-2768
Phone (713) 790-0058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000641 TX Practitioner - Dermatology 5597852558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas a & M University System, HSC, College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Sonabend MD PAGroup PAC ID 6901045665, 28 clinicians

Practice addresses (Care Compare)

4500 Washington Ave
Suite 250
Houston, TX 77007-5477
Phone (281) 857-6870

508 Medical Ctr Blvd
Suite 380
Conroe, TX 77304-2954
Phone (281) 240-4313

7616 Branford PL
Suite 240
Sugar Land, TX 77479-3794
Phone (281) 240-4313

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions701
Removal of skin cancer1-10
Removal or shaving of skin growth1-10
Skin biopsy221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Sonabend M.D., P.a. CurrentSince Nov 1, 2018 Accepting new patients
Complete Labs PLLC Current Accepting new patients

Locations

508 Medical Center Blvd
Ste 380
Conroe, TX 77304
Phone (281) 240-4313

4500 Washington Ave
Ste 250
Houston, TX 77007
Phone (281) 857-6870

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1205059342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN",
            "address_2": "SUITE 724",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302768",
            "telephone_number": "713-790-0058",
            "fax_number": "713-790-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN",
            "address_2": "SUITE 724",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302768",
            "telephone_number": "713-790-0058",
            "fax_number": "713-790-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GEORGANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "M6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.