Jeffrey P Davenport, MD | |
120 Carter Ave, Blackshear Family Practice, Blackshear, GA 31516 | |
(912) 449-4426 | |
Not Available |
Full Name | Jeffrey P Davenport |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 18 Years |
Location | 120 Carter Ave, Blackshear, 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 |
---|---|---|---|
1528204989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2944 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rapides Regional Medical Center | Alexandria, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bittern Emergency Physicians, Llc | 8426280520 | 16 |
Acs Primary Care Physicians Louisiana Pc | 4486566932 | 29 |
Entity Name | Floridian Emergency Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710210695 PECOS PAC ID: 3375682891 Enrollment ID: O20091123000274 |
Entity Name | Bittern Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619392941 PECOS PAC ID: 8426280520 Enrollment ID: O20140403001260 |
Entity Name | Emergency Medicine Services Of Fl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey P Davenport, MD 410 Darling Ave., Satilla Regional Family Practice Residency, Waycross, GA 31501-5200 Ph: (912) 287-4168 | Jeffrey P Davenport, MD 120 Carter Ave, Blackshear Family Practice, Blackshear, GA 31516 Ph: (912) 449-4426 |
Mr. Thomas W Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 147 Longleaf Dr, Blackshear, GA 31516 Phone: 912-449-6243 | |
Ms. Susan Brickle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-4426 Fax: 912-449-1059 | |
Mr. Gordon Brent Waters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-4426 Fax: 912-449-1059 | |
Mr. Donald B. Waters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-4426 Fax: 912-449-1517 |