Matthew Park Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007098 Issued in GA

Practice address

271 Highway 74 N
Suite 1
Peachtree City, GA 30269-1470

Phone

(770) 486-9169

Fax

(770) 486-9145

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Davis Acquisitions of Florida, LLC

  dba Crossroads Chiropractic

  • Chiropractor
  • Naples, FL
  • NPI 1982115762
  Medicare reassignment NPD Authorized official
• Davis Chiropractic Center Inc

  • Chiropractor
  • Peachtree City, GA
  • NPI 1245409697
  NPD (past)
• GHM Partners, LLC

  dba Crossroads Chiropractic

  • Chiropractor
  • Sharpsburg, GA
  • NPI 1043862725
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609961945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 HIGHWAY 74 N",
            "address_2": "SUITE 1",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691470",
            "telephone_number": "770-486-9169",
            "fax_number": "770-486-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 HIGHWAY 74 N",
            "address_2": "SUITE 1",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691470",
            "telephone_number": "770-486-9169",
            "fax_number": "770-486-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "middle_name": "PARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Davidson, RN, CPNP
• Davis Chiropractic Center Inc
• Edward T Davis, DDS
• Gala Davis, D.C.
• Gary Lynn Davis Jr., D.C.
• Nancy J Davis, D.D.S.
• Preston Chase Davis, DC
• Reva Lychelle Davis
• Stuart Paul Davis, MD
• Katarina Michelle Day

• Chiropractor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.