Stacy C. Davis MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

STACY C. DAVIS MD PC

Practice address

1450 Winter St
Augusta, GA 30904-4708

Phone

(706) 364-3371

Fax

(706) 364-3380

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Regina Hester

Title

Office Manager

Phone

(706) 364-3371

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Stacy C. Davis, M.D.

  • Pediatrics Physician
  • Augusta, GA
  • NPI 1386746378
  NPD (past)

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1295008498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 WINTER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044708",
            "telephone_number": "706-364-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WINTER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044708",
            "telephone_number": "706-364-3371",
            "fax_number": "706-364-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY C. DAVIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-364-3371"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000742948 E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Srour, MD
• St. Joseph Holdings of Csra, LLC
• St. Joseph Hospice, LLC
• Jared Staats, OD
• Max E Stachura, MD
• Mary Benson Stacy
• Brianna Stadsvold, MD
• Linda Faye Stafford, LMSW
• Peter Joseph Stager, M.D.
• Ashton Leigh Stallings, PA-C

• Pediatrics Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.