Active NPI
Toni Lynn Davis, P.A.-C
- Physician Assistant
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006599
- Practice address
- 818 Saint Sebastian Way
Suite 311
Augusta, GA 30901-2651 - Phone
- (706) 724-3473
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006599 | GA | Primary |
Addresses
Primary practice location
818 Saint Sebastian Way
Suite 311
Augusta, GA 30901-2651
Mailing address
818 Saint Sebastian Way
Suite 311
Augusta, GA 30901-2651
Phone (706) 724-3473
Other names 1
- Ms. Toni Lynn Wooten
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical College of Georgia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mimosa Dr
Thomasville, GA 31792-6676
Phone (229) 228-5500
Hospital & facility affiliations
- Archbold Memorial Hospital
- Grady General Hospital
- SGMC Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006599 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060
1309 W Screven St
Quitman, GA 31643
Phone (229) 227-5158
606 W Screven St
Quitman, GA 31643
Phone (229) 228-5500
100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
100 Mimosa Dr
Fl 2
Thomasville, GA 31792
Phone (229) 551-0083
Organizations & group practices 4
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.
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cairo, GA
- NPI 1013961507
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1760735401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 SAINT SEBASTIAN WAY",
"address_2": "SUITE 311",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012651",
"telephone_number": "706-724-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 SAINT SEBASTIAN WAY",
"address_2": "SUITE 311",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012651",
"telephone_number": "706-724-3473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TONI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONI",
"last_name": "WOOTEN",
"middle_name": "LYNN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.