Jeffrey A Davenport, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

LIC6636 Issued in GA

Practice address

1031 Park Dr Ste 4
Watkinsville, GA 30677-6060

Phone

(706) 310-0575

Fax

(706) 310-0576

NPI assigned

Sep 20, 2006

Last updated

Nov 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeffrey a Davenport DC PC

  dba Davenport Family Chiropractic

  • Chiropractor
  • Watkinsville, GA
  • NPI 1063601219
  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1578661872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PARK DR STE 4",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776060",
            "telephone_number": "706-310-0575",
            "fax_number": "706-310-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 PARK DR STE 4",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776060",
            "telephone_number": "706-310-0575",
            "fax_number": "706-310-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "LIC6636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Curry
• Kelley D Cutcliff
• Barbara Marie D'Orio, MD, MPA
• Alissa Lee Darnell, LPC
• Madison Kaylynn Dashner, RBT
• Laura Davenport, LPC
• Amy Marie Davis, BCBA
• Angel Hunt Davis, LCSW
• Brooklynn Ridgeway Davis, PHARMD
• Lauren McKenzie Davis

• Chiropractor in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.