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

Last updated

Jul 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sylvester Pediatrics & Adolescent Medicine, P.C.

  • Pediatrics Physician
  • Sylvester, GA
  • NPI 1629125505
  NPD (past) Authorized official
• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Putney Memorial Hosptial

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

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Charles E Sauls, DMD, LLC
• Martha Louise Cooper, M.D.
• Savannah Cooper
• Brittany Dixon Curbow, PHARMD
• Mary Florence Daniels, LPN
• Jordan Day
• Dependable Drugs Inc (Dependable Drugs Pharmacy)
• Dialysis Clinic, Inc.
• Dr. Hugh Hudson DDS
• Benjamin Keith Dupree Sr., R.PH

• Pediatrics Physician in Sylvester, GA
• Providers in Sylvester, GA by specialty
• 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.