Charles Hoyt Davis Iii, MD | |
100 Professional Park, Suite 202, Carrollton, GA 30117-3802 | |
(770) 832-6861 | |
(770) 832-9432 |
Full Name | Charles Hoyt Davis Iii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 100 Professional Park, Carrollton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346268810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 57597 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Home Health Care, An Amedisys Company | Douglasville, GA | Home health agency |
Tanner Home Health Services | Carrollton, GA | Home health agency |
Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Of Georgia Llc | 4284951542 | 332 |
Select Rehabilitation Llc | 9032020490 | 202 |
Entity Name | Privia Medical Group Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
Charles Hoyt Davis Iii, MD 100 Professional Park, Suite 202, Carrollton, GA 30117-3802 Ph: (770) 832-6861 | Charles Hoyt Davis Iii, MD 100 Professional Park, Suite 202, Carrollton, GA 30117-3802 Ph: (770) 832-6861 |
Andrew Chanyang Rho, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 300, Carrollton, GA 30117 Phone: 770-834-6208 Fax: 770-830-7620 | |
Michael Anthony Poss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1128 S Park St, Carrollton, GA 30117 Phone: 770-686-9153 | |
Dr. Hermogenes Pagsisihan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Park, Suite 204, Carrollton, GA 30117 Phone: 770-834-3351 Fax: 770-830-1518 | |
Erin Michelle Smith, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 | |
Kisha Lafleur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 Fax: 770-812-5832 | |
Gregory Benjamin Floyd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, Suite 202, Carrollton, GA 30117 Phone: 770-832-6861 Fax: 770-832-9432 | |
Jefferson Taylor Gordon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, Suite 202, Carrollton, GA 30117 Phone: 770-832-6861 Fax: 770-832-9432 |