Mitzie-ann Davis, MD | |
1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 | |
(770) 719-5710 | |
(678) 817-4360 |
Full Name | Mitzie-ann Davis |
---|---|
Gender | Female |
Speciality | Gynecological Oncology |
Experience | 18 Years |
Location | 1279 Highway 54 W, Fayetteville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740473735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 075326 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Piedmont Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Providers Llc | 9830082825 | 367 |
Entity Name | Piedmont Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
Mailing Address | Practice Location Address |
---|---|
Mitzie-ann Davis, MD 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 Ph: (770) 719-5710 | Mitzie-ann Davis, MD 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 Ph: (770) 719-5710 |
Tanya Denise Beckford, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-716-8672 | |
Dr. Crystal O Slade, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341 | |
Dr. Thomas K Taylor, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 125 Astaire Mnr, Fayetteville, GA 30214 Phone: 404-661-8858 | |
Matthew M Ralsten, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 West, Suite 3200, Fayetteville, GA 30214 Phone: 770-632-9900 Fax: 770-632-9997 | |
Dr. Benita L Bonser, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341 | |
Dr. Judonn Theophilous Adams, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 120 Carnegie Pl, Suite 104, Fayetteville, GA 30214 Phone: 770-460-5667 Fax: 770-460-6710 | |
Dr. Edwin Bello, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341 |