Individual provider Active NPI

William H Davis, MD

  • Vascular Surgery Physician
  • Tifton, GA
National Provider Identifier
1497722193
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
029320 Issued in GA
Practice address
1007 Greenfield Dr
Tifton, GA 31794-3795
Phone
(229) 382-9733
Fax
(229) 387-6161
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 029320 GA Primary

Addresses

Primary practice location

1007 Greenfield Dr
Tifton, GA 31794-3795

Mailing address

1007 Greenfield Dr
Tifton, GA 31794-3795
Phone (229) 382-9733

Other identifiers 2

IdentifierTypeStateIssuer
00427435AMedicaidGA
00427435CMedicaidGA

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
I20060526000139 GA Practitioner - General SurgeryPractitioner - Vascular Surgery 8325038235 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Medical College of Georgia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas Vascular Center, LLCGroup PAC ID 1850568361, 2 clinicians
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

326 Shirley Ave
Douglas, GA 31533-2332
Phone (912) 384-0322

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal42
Leg revascularization (restoring blood flow)22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Apr 1, 2006 Accepting new patients
CRH Physician Practices, LLC CurrentSince Jun 16, 2024 Accepting new patients
Douglas Vascular Center, LLC CurrentSince Feb 12, 2012 Accepting new patients
Care Medical Center LLC CurrentSince Jan 15, 2026 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Care Medical Center LLC CurrentSince Jan 15, 2026 Accepting new patients
CRH Physician Practices LLC Past Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

326 Shirley Ave
#B
Douglas, GA 31533
Phone (912) 384-0322

326 Shirley Ave
Douglas, GA 31533
Phone (404) 606-2069

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

1007 Greenfield Dr
Tifton, GA 31794
Phone (229) 382-9733

162 Virginia Ave S
Tifton, GA 31794
Phone (229) 241-8925

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: williamdavis_30688@dvc.omnimddirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497722193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GREENFIELD DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943795",
            "telephone_number": "229-382-9733",
            "fax_number": "229-387-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GREENFIELD DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943795",
            "telephone_number": "229-382-9733",
            "fax_number": "229-387-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "029320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00427435A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00427435C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.