Active NPI
Gregory Lynn Davis, M.D.
- Gynecology Physician
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G73638
- Practice address
- 1040 Mangrove Ave
Chico, CA 95926-3509 - Phone
- (530) 345-0064
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G73638 | CA | Primary |
Addresses
Primary practice location
1040 Mangrove Ave
Chico, CA 95926-3509
Mailing address
1040 Mangrove Ave
Chico, CA 95926-3509
Phone (530) 345-0064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G736380 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Goshen Rd
Rincon, GA 31326-5744
Phone (912) 826-5239
Hospital & facility affiliations
- Effingham Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73638 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Effingham Hospital, Inc. | Current | Accepting new patients | |
| Effingham Hospital, Inc. | Current | Accepting new patients | |
| Effingham Hospital, Inc. | Current | Accepting new patients | |
| Effingham Hospital, Inc. | Past | Accepting new patients | |
| Effingham Hospital, Inc. | Past | Accepting new patients | |
| Effingham Hospital, Inc. | Past | Accepting new patients |
Locations
3 Hidden Creek Dr
Guyton, GA 31312
Phone (912) 772-8620
7306 State Highway 21
Ste 105
Port Wentworth, GA 31407
Phone (912) 826-1500
100 Goshen Rd
Rincon, GA 31326
Phone (912) 826-6000
110 Goshen Rd
Rincon, GA 31326
Phone (912) 826-1400
1451 Highway 21 S
Ste H
Springfield, GA 31329
Phone (912) 754-1035
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Rincon, GA
- NPI 1083042352
-
- Otolaryngology Physician
- Springfield, GA
- NPI 1881588028
-
- Rural Health Clinic/Center
- Guyton, GA
- NPI 1164651022
-
- Occupational Medicine Physician
- Port Wentworth, GA
- NPI 1245668417
-
- Rural Health Clinic/Center
- Rincon, GA
- NPI 1811020407
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1497752877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 MANGROVE AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263509",
"telephone_number": "530-345-0064",
"fax_number": "530-345-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MANGROVE AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263509",
"telephone_number": "530-345-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GREGORY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G73638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G736380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.