Active NPI
Lawton C. Davis, M.D.
- Internal Medicine Physician
- Dublin, GA
National Provider Identifier
1437219367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 021669
- Practice address
- 2121 Bellevue Rd
Dublin, GA 31021-2952 - Phone
- (478) 275-6545
- Fax
- (478) 275-6575
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021669 | GA | Primary |
Addresses
Primary practice location
2121 Bellevue Rd
Dublin, GA 31021-2952
Mailing address
1028 Lakewood TRL
Dublin, GA 31021-0436
Phone (478) 275-6545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021669 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodge County Board of Health | Past | Accepting new patients | |
| County of Montgomery Health Department | Past | Accepting new patients | |
| Laurens County Board of Health | Past | Accepting new patients | |
| Pulaski County Health Department | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Wilcox County Board of Health | Past | Accepting new patients | |
| Telfair County Health Department | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Mt. Vernon, GA
- NPI 1255409215
-
- Public Health or Welfare Agency
- Eastman, GA
- NPI 1316015407
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Public Health or Welfare Agency
- Dublin, GA
- NPI 1336395615
-
- Public Health or Welfare Agency
- Hawkinsville, GA
- NPI 1457428963
-
- Public Health or Welfare Agency
- MC Rae, GA
- NPI 1548338692
-
- Public Health or Welfare Agency
- Rochelle, GA
- NPI 1548338932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437219367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 LAKEWOOD TRL",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310210436",
"telephone_number": "478-275-6545",
"fax_number": "478-275-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 BELLEVUE RD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212952",
"telephone_number": "478-275-6545",
"fax_number": "478-275-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LAWTON",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "021669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.