William J. Davanzo, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

050009 Issued in GA

Legal business name

WILLIAM J. DAVANZO, M.D., P.C.

Practice address

417 W 3Rd Ave
Albany, GA 31701-1943

Phone

(229) 312-1000

NPI assigned

Nov 7, 2005

Last updated

Jul 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William James DavanzoNPI 1598947970

Title

Ceo

Phone

(912) 258-4923

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William James Davanzo, M.D.

  • Nephrology Physician
  • Albany, GA
  • NPI 1598947970
  Authorized official Same address or phone
• Robert Eric Bryan, MD

  • Addiction Medicine (Family Medicine) Physician
  • St Simons Island, GA
  • NPI 1609090141
  NPD (past)
• Barbara Davanzo, M.D.

  • Psychiatry Physician
  • St Simons Island, GA
  • NPI 1881876175
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1639150790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 QUAIL PINES DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635364",
            "telephone_number": "912-258-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011943",
            "telephone_number": "229-312-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Quail Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317635364",
            "country_code": "US",
            "telephone_number": "912-258-4923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAM J. DAVANZO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "DAVANZO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-258-4923",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "050009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB1236",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000919234H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000919234I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000919234J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Michelle Wilburn-Beckhom, M.S.
• Roderick McLeod Wilcox, LCSW, MFT
• Stephen Mark Wilder
• Kenna W Wiles, P.A.
• Kadeen Latoya Willacey
• William Kelvin Lane
• William R. Berry III D.D.S. PC
• Williams Home Care LLC
• Jessica Rena Williams-Bush, NP
• Anna Arp Williams

• Specialist in Albany, GA
• Providers in Albany, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.