Angela Marie Davis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

062032 Issued in GA

Practice address

23702 Hwy 80 E
Statesboro, GA 30461-0845

Phone

(912) 489-4090

Fax

(912) 764-5028

NPI assigned

Jun 28, 2007

Last updated

Oct 5, 2024By 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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Care Center, PCGroup PAC ID 4082601299, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Statesboro, GA, CCN 117033
• Enhabit Home Health Home health agency, Hartwell, GA, CCN 117069
• University Home Health Services Home health agency, Waynesboro, GA, CCN 117068
• East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.davis.p1@direct.familyhealthcare.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Family Health Care Center, PC

  dba Family Health Care Center

  • Clinic/Center
  • Statesboro, GA
  • NPI 1205855988
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caresouth HHA Holdings of Washington, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Hartwell, GA
  • NPI 1740268176
  Care Compare affiliation
• East Georgia Regional Medical Center, LLC

  • General Acute Care Hospital
  • Statesboro, GA
  • NPI 1265486278
  Care Compare affiliation
• Healthfield of Statesboro, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Statesboro, GA
  • NPI 1942230750
  Care Compare affiliation
• LHCG CLXV, LLC

  dba University Home Health Services

  • Home Health Agency
  • Waynesboro, GA
  • NPI 1467063529
  Care Compare affiliation

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1760689319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23702 HWY 80 E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304610845",
            "telephone_number": "912-489-4090",
            "fax_number": "912-764-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23702 HWY 80 E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304610845",
            "telephone_number": "912-489-4090",
            "fax_number": "912-764-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "062032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ansley Elizabeth Daughtry
• Mandy Conner Davenport, PHARMD
• Aaron Hershel Davidson, MD
• Luis R Davila, M.D.
• Anastasia Chefon Davis, FNP-BC
• Jill Davis, PA-C, RDN
• Nicole Davis
• Emily Tripp Dawson, RN
• Aubrey R Dayton Kehoe
• Horace E Deal, OD

• Family Medicine Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.