John B Davis Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

026497 Issued in GA

Practice address

605 N Westover Blvd
Albany, GA 31707-2188

Phone

(229) 434-4200

Fax

(229) 434-4208

NPI assigned

Aug 31, 2006

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Kentucky College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albany Surgical, P.C.Group PAC ID 6305831090, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8e2ece22-3efe-4cb1-860b-5b67b6cf3ea9/

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.

• Albany Surgical, P.C.

  • Surgery Physician
  • Albany, GA
  • NPI 1023005675
  Medicare reassignment Care Compare group NPD
• Southern Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Albany, GA
  • NPI 1184083958
  NPD (past) Authorized official
• South Georgia Surgical Associates, PC

  • Specialist
  • Thomasville, GA
  • NPI 1235245184
  NPD (past)
• Southwest Georgia Surgical Associates, PC

  • Surgery Physician
  • Americus, GA
  • NPI 1609987262
  NPD (past)
• Sumter Regional Medical Group, PC

  • Specialist
  • Americus, GA
  • NPI 1073685996
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Phoebe Putney Memorial Hospital Inc

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1639280282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N WESTOVER BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072188",
            "telephone_number": "229-434-4200",
            "fax_number": "229-434-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N WESTOVER BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072188",
            "telephone_number": "229-434-4200",
            "fax_number": "229-434-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "026497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000399044D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Davis, LMT
• Derek Joseph Davis, MS, LAT, ATC
• Derik Oliver Davis, MS, LAT, ATC
• Eleanor Sharon Davis, CNM
• Jefferson U Davis, DDS, MD.
• Larry Dennis Davis Sr.
• Latasha Davis
• Michael Anthony Davis, M.D.
• Patricia Davis, LCSW
• Patricia A.S. Davis

• Surgery Physician in Albany, GA
• Providers in Albany, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.

Verify at the official NPI Registry.