Active NPI
Richard Lee Davis, MD
- Orthopaedic Surgery Physician
- Hartwell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 023725
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000291772Q | Medicaid | GA | |
| 000291772P | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Ty Cobb Regional Medical Center, LLC
- Stephens County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023725 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Orthopedics, P.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Donalsonville Hospital Inc | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Commerce, GA
- NPI 1669780359
Orthopaedic Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lavonia, GA
- NPI 1235187980
-
- Rural Acute Care Hospital
- Lavonia, GA
- NPI 1518354778
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.