Dalton Lee Davis

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

283 Stanley Cemetery Rd
Dublin, GA 31021-0628

Phone

(478) 279-3489

NPI assigned

May 15, 2024

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment
• Discovery Therapy Network

  • Rehabilitation Clinic/Center
  • Atlanta, GA
  • NPI 1376167841
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1689423220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 STANLEY CEMETERY RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210628",
            "telephone_number": "478-279-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 STANLEY CEMETERY RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210628",
            "telephone_number": "478-279-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DALTON",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark B Dasher, PHARMD
• Megan Nicole Dasher
• Brooke Brianne Davis, M.ED CCC-SLP
• Carolyn S. Davis, MSM, RD, LD
• Catherine Davis, LMSW
• Donald Anthony Davis, MD
• Henry Gene Davis Jr., CPS
• Jelani Gemar Davis, PHARM.D
• Kristin Watson Davis, PA-C
• Lawton C. Davis, M.D.

• Physician Assistant in Dublin, GA
• Providers in Dublin, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.

Verify at the official NPI Registry.