Active NPI
Chatham Davis Jr., SOCIAL WORKER
- Social Worker
- Saint Marys, GA
National Provider Identifier
1881328581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 202 Deerwood CT
Saint Marys, GA 31558-4377 - Phone
- (912) 571-2152
- NPI assigned
- Jul 11, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
202 Deerwood CT
Saint Marys, GA 31558-4377
Mailing address
202 Deerwood CT
Saint Marys, GA 31558-4377
Phone (912) 571-2152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1881328581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 DEERWOOD CT",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315584377",
"telephone_number": "912-571-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 DEERWOOD CT",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315584377",
"telephone_number": "912-571-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHATHAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.