Active NPI
Jeffrey Davenport Georgia, M.D.
- Diagnostic Radiology Physician
- Presque Isle, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036.177198
- Practice address
- 140 Academy St
Presque Isle, ME 04769-3102 - Phone
- (207) 768-4000
- NPI assigned
- Feb 14, 2006
- Last updated
- May 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036.177198 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD21428 | ME |
Addresses
Primary practice location
140 Academy St
Presque Isle, ME 04769-3102
Mailing address
11 Everett Dow Dr
Woolwich, ME 04579-4571
Phone (207) 730-0954
Other practice location 1
22 Roulston Rd
Windham, NH 03087-1209
Phone (855) 301-0563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Geisel School of Medicine at Dartmouth, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
118 Bennett Dr
Suite 130
Caribou, ME 04736-2052
Phone (207) 498-3476
140 Academy St
Presque Isle, ME 04769-3102
146 Academy St
Presque Isle, ME 04769-3102
50 Island Rd
Limerick, ME 04048-4053
Phone (614) 340-7740
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 71.56
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 76.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.19 of 100
- Quality
- 77.88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.177198 | IL | MD | Diagnostic Radiology Physician |
| MD21428 | ME | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Aroostook Medical Center | Current | Accepting new patients | |
| Lucidsolutions, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| The Aroostook Medical Center | Current | Accepting new patients | |
| Montgomery-Community Magnetic Imaging CNTR LTD Partnership | Diagnostic Radiology | Past | Accepting new patients |
| Community Radiology Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| DRS Korsower & Pion Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| American Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Community Radiology Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000
140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
Organizations & group practices 8
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.
-
dba Northern Light A.R. Gould Hospital
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
-
dba Northern Light Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Presque Isle, ME
- NPI 1982723037
-
- Diagnostic Radiology Physician
- Prince Frederick, MD
- NPI 1629235312
-
- Diagnostic Radiology Physician
- Silver Spring, MD
- NPI 1396707782
-
- Diagnostic Radiology Physician
- Bethesda, MD
- NPI 1972324606
-
- Diagnostic Radiology Physician
- Olney, MD
- NPI 1447212840
-
- Diagnostic Radiology Physician
- Rockville, MD
- NPI 1346202751
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northern Light A.R. Gould Hospital
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
-
dba Southern Hills Hospital & Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1417921842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 EVERETT DOW DR",
"city": "WOOLWICH",
"state": "ME",
"postal_code": "045794571",
"telephone_number": "207-730-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ACADEMY ST",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693102",
"telephone_number": "207-768-4000"
}
],
"practiceLocations": [
{
"address_1": "22 Roulston Rd",
"address_purpose": "LOCATION",
"city": "Windham",
"state": "NH",
"postal_code": "030871209",
"country_code": "US",
"telephone_number": "855-301-0563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGIA",
"first_name": "JEFFREY",
"middle_name": "DAVENPORT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.177198",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "MD21428",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Presque Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.
- 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.