Individual provider Active NPI

Ryan Bradley Davies, MD

  • Pediatrics Physician
  • Macon, GA
National Provider Identifier
1407353246
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
89238 Issued in GA
Practice address
1014 Forsyth St Ste 100
Macon, GA 31201-2051
Phone
(478) 633-7600
Fax
(478) 633-7354
NPI assigned
Apr 9, 2018
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 89238 GA Primary

Addresses

Primary practice location

1014 Forsyth St Ste 100
Macon, GA 31201-2051

Mailing address

1014 Forsyth St Ste 100
Macon, GA 31201-2051
Phone (478) 633-7600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000831 GA Practitioner - Pediatric Medicine 0840542015 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89238GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Regional Hospital Inc CurrentSince Apr 7, 2024 Accepting new patients
Crisp Regional Hospital, Inc CurrentSince Apr 7, 2024 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Jan 23, 2025 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Jan 23, 2025 Accepting new patients
Health Services of Central Georgia, Inc Pediatrics CurrentSince May 1, 2023 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients

Locations

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

330 Old Hatley Rd
Cordele, GA 31015
Phone (229) 276-3642

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

408 E 3rd Ave
Cordele, GA 31015
Phone (229) 271-2229

744 1st St
Macon, GA 31201
Phone (478) 633-7500

1014 Forsyth St
Ste 100
Macon, GA 31201
Phone (478) 633-7600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

990 Veterans Memorial Hwy NE
#A
Rome, GA 30161
Phone (706) 291-4100

Interoperability endpoints

  • Direct secure messaging: rdavies433976@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1407353246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 FORSYTH ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012051",
            "telephone_number": "478-633-7600",
            "fax_number": "478-633-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 FORSYTH ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012051",
            "telephone_number": "478-633-7600",
            "fax_number": "478-633-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "RYAN",
        "middle_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "89238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.