Edward T Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08851 Issued in GA

Practice address

303 Prime PT
Peachtree City, GA 30269-3308

Phone

(770) 487-2363

Fax

(770) 487-8790

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nassar Enterprises,LLC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1609056480
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891897682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PRIME PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693308",
            "telephone_number": "770-487-2363",
            "fax_number": "770-487-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PRIME PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693308",
            "telephone_number": "770-487-2363",
            "fax_number": "770-487-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EDWARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "08851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Davenport, DMD , MS
• David L. Anders, M.D., P.C.
• David P. Timms., D.D.S.,P.C.
• Virginia Davidson, RN, CPNP
• Davis Chiropractic Center Inc
• Gala Davis, D.C.
• Gary Lynn Davis Jr., D.C.
• Matthew Park Davis, D.C.
• Nancy J Davis, D.D.S.
• Preston Chase Davis, DC

• All providers in Peachtree City, GA
• General Practice Dentistry 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.