Active NPI
Diane Watkins Davis, M.D.
- Otolaryngology Physician
- Savannah, GA
National Provider Identifier
1285706309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 24798
- Practice address
- 5201 Frederick St
Savannah, GA 31405-4501 - Phone
- (912) 351-3030
- Fax
- (912) 351-3039
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 24798 | GA | Primary |
Addresses
Primary practice location
5201 Frederick St
Savannah, GA 31405-4501
Mailing address
5201 Frederick St
Savannah, GA 31405-4501
Phone (912) 351-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000264569A | Medicaid | GA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24798 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Associates of Savannah, PC | Otolaryngology | Current | Accepting new patients |
| Ear, Nose & Throat Associates of Savannah, PC | Otolaryngology | Current | Accepting new patients |
| Ear, Nose & Throat Associates of Savannah, PC | Otolaryngology | Past | Accepting new patients |
| Hearing Center at Dublin ENT | Past | Accepting new patients |
Locations
5201 Frederick St
Savannah, GA 31405
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Savannah, GA
- NPI 1134322142
-
- Otolaryngology Physician
- Pooler, GA
- NPI 1316338494
-
- Audiologist
- Dublin, GA
- NPI 1679399703
-
- Otolaryngology Physician
- Bluffton, SC
- NPI 1356757546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1285706309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 FREDERICK ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054501",
"telephone_number": "912-351-3030",
"fax_number": "912-351-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 FREDERICK ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054501",
"telephone_number": "912-351-3030",
"fax_number": "912-351-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DIANE",
"middle_name": "WATKINS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "24798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000264569A",
"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 Aug 8, 2016; 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.