George a. Davis, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0043912 Issued in FL

Legal business name

GEORGE A. DAVIS, M.D., P.A.

Practice address

800 Zeagler Dr
Suite 120
Palatka, FL 32177-3827

Phone

(386) 328-8369

Fax

(386) 328-8006

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. George A Davis, M.D.

Title

Owner

Phone

(386) 328-8369

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1689931727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "SUITE 120",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "386-328-8369",
            "fax_number": "386-328-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "SUITE 120",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "386-328-8369",
            "fax_number": "386-328-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A. DAVIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-328-8369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0043912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180002441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7143688",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064445500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Garris, APRN, FNP-C
• Gaylain Lee Shumacher Physical Therapist
• Angela Gaylord, PTA
• Kathleen A. Gebert
• Connie Marie Gellinger, APRN CNM
• Shirine Marianne Gharda, MD
• Natalie B Gill
• Shanay L Gill
• Kate Marie Gilrain, PT, DPT
• Yolanda D Gilyard

• Ophthalmology Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.