Leo Davis, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

012310 Issued in GA

Practice address

70 Mountain Dr Ste C
Dahlonega, GA 30533-1629

Phone

(706) 867-0145

Fax

(706) 867-0148

NPI assigned

Sep 4, 2008

Last updated

Sep 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy and ENT of Ga

  • Family Medicine Physician
  • Dahlonega, GA
  • NPI 1205919404
  NPD (past)
• Georgia Heart Institute LLC

  • Cardiovascular Disease Physician
  • Gainesville, GA
  • NPI 1477976520
  NPD (past)
• Southern Health Corporation of Dahlonega, Inc

  dba Chestatee Medical Group

  • Family Medicine Physician
  • Dahlonega, GA
  • NPI 1619201357
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1376791244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MOUNTAIN DR STE C",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331629",
            "telephone_number": "706-867-0145",
            "fax_number": "706-867-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MOUNTAIN DR STE C",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331629",
            "telephone_number": "706-867-0145",
            "fax_number": "706-867-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LEO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "012310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Fabrycy Daniel, MS, FNP-C
• Erin Marie Darsey, ATC
• Kelley Davis Dasinger, O.D.
• Michael Craig Dasinger, O.D.
• Joshua Davidson
• DCLC Two PC
• Carolynn Anne Desandre, PHD, CMN, FNP-BC
• Diabetic & Therapeutic Healthcare Supplies, LLC
• Dogwood Bluff Personal Care Home
• Lindsay Fowler Dowis, D.O.

• Otolaryngology Physician in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.