Active NPI
Franklin Brent Davis, D. M. D.
- Dentist
- Macon, GA
National Provider Identifier
1659625903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN010885
- Practice address
- 1248 Oglethorpe St
Macon, GA 31201-1703 - Phone
- (478) 743-5856
- Fax
- (478) 745-7953
- NPI assigned
- Nov 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN010885 | GA | Primary |
Addresses
Primary practice location
1248 Oglethorpe St
Macon, GA 31201-1703
Mailing address
1248 Oglethorpe St
Macon, GA 31201-1703
Phone (478) 743-5856
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623003077 | GA | Order and Referring Only - Dentist | 4880905462 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN010885 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oglethorpedental Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Macon, GA
- NPI 1245384221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1659625903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 OGLETHORPE ST",
"city": "MACON",
"state": "GA",
"postal_code": "312011703",
"telephone_number": "478-743-5856",
"fax_number": "478-745-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 OGLETHORPE ST",
"city": "MACON",
"state": "GA",
"postal_code": "312011703",
"telephone_number": "478-743-5856",
"fax_number": "478-745-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "FRANKLIN",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "D. M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-07",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN010885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.