David Medical Enterprises

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26091 Issued in GA

Legal business name

DAVID MEDICAL ENTERPRISES

Practice address

3840 Waters Avenue
I Care Family Medicine Clinic
Savannah, GA 31404-6264

Phone

(912) 354-4239

NPI assigned

May 16, 2012

Organization subpart

Yes

Parent organization

DAVID MEDICAL ENTERPRISESAs reported in NPPES

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

Authorized official

Name

Marc Frederique David, M.D.

Title

Ceo, Direct Owner

Phone

(770) 403-5382

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• I Care Family Medicine Clinic Doing business as

Part of

David Medical Enterprises

Locations

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1619236205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23955",
            "address_2": "MARC FREDERIQUE DAVID",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314033995",
            "telephone_number": "912-354-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 WATERS AVENUE",
            "address_2": "I CARE FAMILY MEDICINE CLINIC",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046264",
            "telephone_number": "912-354-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MEDICAL ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID MEDICAL ENTERPRISES",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "FREDERIQUE",
        "authorized_official_title_or_position": "CEO, DIRECT OWNER",
        "authorized_official_telephone_number": "770-403-5382",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "26091",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.047838",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121635A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Care Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Daugherty, MD
• Emery Alviana Davenport
• Kelsey Davenport, CCC SLP
• Leah Davenport
• Nasharee Delese Davenport, RBT
• Johnetta Marie Davidson
• Barbara L Davies, MD
• David Marshall Davies
• Cheyenne Leigh Davis-Harshman
• Petrenia Davis-Jenkins, MD

• Family Medicine Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.