Organization Active NPI

Floyd Davis, MD, PC

  • Optometrist
  • Fayetteville, GA
National Provider Identifier
1730378290
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008747 Issued in GA
Legal business name
FLOYD DAVIS, MD, PC
Practice address
128 N Park Dr
Fayetteville, GA 30214-1645
Phone
(770) 461-3060
Fax
(770) 460-9348
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mr. James Thomas Gailmard
Title
Office Manager
Phone
(770) 461-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 008747 GA Primary

Addresses

Primary practice location

128 N Park Dr
Fayetteville, GA 30214-1645

Mailing address

128 N Park Dr
Fayetteville, GA 30214-1645
Phone (770) 461-3060

National Provider Directory

National Provider Directory

Locations

2722 Felton Dr
Ste C
East Point, GA 30344

128 N Park Dr
Fayetteville, GA 30214
Phone (770) 461-3060

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1730378290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N PARK DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141645",
            "telephone_number": "770-461-3060",
            "fax_number": "770-460-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N PARK DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141645",
            "telephone_number": "770-461-3060",
            "fax_number": "770-460-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD DAVIS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "GAILMARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-461-3060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "008747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.