Organization Active NPI

Davey D Herring MD LLC

  • Surgery Physician
  • Hinesville, GA
National Provider Identifier
1457074569
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DAVEY D HERRING MD LLC
Practice address
103 E General Stewart Way Ste B
Hinesville, GA 31313-2607
Phone
(478) 955-8326
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Davey Donald Herring, MDNPI 1629180971
Title
Owner
Phone
(478) 955-8326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

103 E General Stewart Way Ste B
Hinesville, GA 31313-2607

Mailing address

226 Jeff Davis Highway
P.O. Box 389
Fitzgerald, GA 31750
Phone (478) 955-8326

Other identifiers 2

IdentifierTypeStateIssuer
00235452JMedicaidGA
D29738OtherGAUPIN

National Provider Directory

National Provider Directory

Locations

103 E General Stewart Way
#B
Hinesville, GA 31313
Phone (912) 332-5621

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1457074569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 JEFF DAVIS HIGHWAY",
            "address_2": "P.O. BOX 389",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "31750",
            "telephone_number": "478-955-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E GENERAL STEWART WAY STE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132607",
            "telephone_number": "478-955-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVEY D HERRING MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "DAVEY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-955-8326",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00235452J",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D29738",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.