Individual provider Active NPI

Richard Lee Davis, MD

  • Orthopaedic Surgery Physician
  • Hartwell, GA
National Provider Identifier
1801901541
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
023725 Issued in GA
Practice address
178 Cade St
Suite C
Hartwell, GA 30643-1815
Phone
(706) 376-6081
Fax
(706) 376-6444
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 023725 GA Primary

Addresses

Primary practice location

178 Cade St
Suite C
Hartwell, GA 30643-1815

Mailing address

PO Box 463
Commerce, GA 30529-0009
Phone (706) 335-9081

Other identifiers 2

IdentifierTypeStateIssuer
000291772QMedicaidGA
000291772PMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060124000003 GA Practitioner - Orthopedic Surgery 5991729451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Eastern Virginia Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

142 Hampton Court
Commerce, GA 30529-6688

142 Hampton CT
Commerce, GA 30529-6688
Phone (706) 335-9081

Hospital & facility affiliations

  • Tugaloo Home Health Agency, an Amedisys Company Home health agency, Lavonia, GA, CCN 117036
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • Stephens County Hospital Hospital, Toccoa, GA, CCN 110032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023725GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Orthopedics, P.C. Orthopaedic Surgery CurrentSince Jan 1, 1994 Accepting new patients
Donalsonville Hospital Inc CurrentSince Jan 10, 2017 Accepting new patients
Family Orthopedis, PC Orthopaedic Surgery Past Accepting new patients

Locations

15 Medical Center Ct
Commerce, GA 30529
Phone (706) 335-9081

142 Hampton Ct
Commerce, GA 30529
Phone (706) 335-9081

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

178 Cade St
Ste C
Hartwell, GA 30643
Phone (706) 376-6081

Interoperability endpoints

  • Direct secure messaging: rdavis@familyortho.gwaydirect.com

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1801901541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305290009",
            "telephone_number": "706-335-9081",
            "fax_number": "706-335-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 CADE ST",
            "address_2": "SUITE C",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431815",
            "telephone_number": "706-376-6081",
            "fax_number": "706-376-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "023725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000291772Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000291772P",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

Verify at the official NPI Registry.