Gary Lynn Davis Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5622 Issued in GA

Practice address

271 Highway 74 N
Suite1
Peachtree City, GA 30269-1470

Phone

(770) 486-9169

Fax

(770) 486-9145

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Davis Chiropractic Center IncGroup PAC ID 7113908831, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Davis Chiropractic Center Inc

  • Chiropractor
  • Peachtree City, GA
  • NPI 1245409697
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831289883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 HIGHWAY 74 N",
            "address_2": "SUITE1",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691470",
            "telephone_number": "770-486-9169",
            "fax_number": "770-486-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 HIGHWAY 74 N",
            "address_2": "SUITE1",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691470",
            "telephone_number": "770-486-9169",
            "fax_number": "770-486-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GARY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P. Timms., D.D.S.,P.C.
• Virginia Davidson, RN, CPNP
• Davis Chiropractic Center Inc
• Edward T Davis, DDS
• Gala Davis, D.C.
• Matthew Park Davis, D.C.
• Nancy J Davis, D.D.S.
• Preston Chase Davis, DC
• Reva Lychelle Davis
• Stuart Paul Davis, MD

• All providers in Peachtree City, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.