Grace Violet Davis, M.D., M.P.H.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

039770 Issued in GA

Practice address

203 W Kelly St
Sylvester, GA 31791-2021

Phone

(229) 777-0488

Fax

(229) 777-0476

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

Yes

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.

• Sylvester Pediatrics & Adolescent Medicine, P.C.

  • Pediatrics Physician
  • Sylvester, GA
  • NPI 1629125505

  Pediatrics

  NPD (past) Authorized official
• Phoebe Putney Memorial Hospital Inc

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: grace.davis@sylvesterpeds.gadirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2008.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1679534945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W KELLY ST",
            "address_2": "P.O. BOX 5367",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317912021",
            "telephone_number": "229-777-0488",
            "fax_number": "229-777-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W KELLY ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317912021",
            "telephone_number": "229-777-0488",
            "fax_number": "229-777-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GRACE",
        "middle_name": "VIOLET",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "039770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000654475K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Florence Daniels, LPN
• Jordan Day
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• Dr. Hugh Hudson DDS
• Benjamin Keith Dupree Sr., R.PH

• All providers in Sylvester, GA
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.