Active NPI
Davis O'Brien
- Surgery Physician
- Augusta, GA
National Provider Identifier
1265095129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10819
- Practice address
- 1430 Harper St Ste B
Augusta, GA 30901-0619 - Phone
- (706) 724-5451
- Fax
- (706) 724-9562
- NPI assigned
- Apr 17, 2019
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10819 | GA | Primary |
Addresses
Primary practice location
1430 Harper St Ste B
Augusta, GA 30901-0619
Mailing address
1430 Harper St Ste B
Augusta, GA 30901-0619
Phone (706) 724-5451
Other practice location 1
1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190715000279 | GA | Order and Referring Only - General Surgery | 3971838905 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis O'Brien MD PC | Surgery | Current | Accepting new patients |
Locations
1430 Harper St
Ste B
Augusta, GA 30901
Phone (706) 724-5451
Organizations & group practices 1
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.
-
- Surgery Physician
- Augusta, GA
- NPI 1356275010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1265095129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 HARPER ST STE B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309010619",
"telephone_number": "706-724-5451",
"fax_number": "706-724-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 HARPER ST STE B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309010619",
"telephone_number": "706-724-5451",
"fax_number": "706-724-9562"
}
],
"practiceLocations": [
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-721-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRIEN",
"first_name": "DAVIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "10819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.