Stacy C. Davis, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

043030 Issued in GA

Practice address

1450 Winter St
Augusta, GA 30904-4708

Phone

(706) 364-3371

Fax

(706) 364-3380

NPI assigned

Sep 1, 2006

Last updated

Nov 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Stacy C. Davis MD PC

  • Pediatrics Physician
  • Augusta, GA
  • NPI 1295008498
  NPD (past)
• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1386746378",
    "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",
            "fax_number": "706-364-3380"
        },
        {
            "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": {
        "last_name": "DAVIS",
        "first_name": "STACY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "043030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000742948E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta S. Davis, MD
• Lucas Howard Davis, M.D.
• Margaret D Davis, MSW
• Sharhonda Lajoyce Davis
• Shavondria Beard Davis, LCSW
• Susan Angeline Davis, M.D.
• Taylor Davis, RBT
• Toni Lynn Davis, P.A.-C
• Toree Davis
• William B. Davis, MD

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.