Jeffrey P Davenport, MD - Medicare Family Practice in Blackshear, GA

  1. Home
  2. Family Medicine
  3. GA
  4. Blackshear
Jeffrey P Davenport, MD is a medicare enrolled "Family Medicine" physician in Blackshear, Georgia. He went to Florida State University College Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Tammany Emergency Physicians Group Llc, Springdale Bentonville Hbp Services Llc and his current practice location is 120 Carter Ave, Blackshear Family Practice, Blackshear, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 449-4426.

Jeffrey P Davenport is licensed to practice in Louisiana (license number 339722) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528204989.

Contact Information

Jeffrey P Davenport, MD
120 Carter Ave, Blackshear Family Practice,
Blackshear, GA 31516
(912) 449-4426
Not Available

Map and Direction




Physician's Profile

Full NameJeffrey P Davenport
GenderMale
SpecialityFamily Practice
Experience19 Years
Location120 Carter Ave, Blackshear, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey P Davenport attended and graduated from Florida State University College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1528204989
  • Provider Enumeration Date: 01/06/2009
  • Last Update Date: 02/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375677743
  • Enrollment ID: I20240109004104

Medical Identifiers

Medical identifiers for Jeffrey P Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528204989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2944 (Georgia)Secondary
207Q00000XFamily Medicine 339722 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rapides Regional Medical CenterAlexandria, LAHospital
Northwest Medical Center-springdaleSpringdale, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Tammany Emergency Physicians Group Llc721425596744
Springdale Bentonville Hbp Services Llc105275926394

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffrey P Davenport allows following entities to bill medicare on his behalf.
Entity NameAcs Primary Care Physicians Louisiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306889092
PECOS PAC ID: 4486566932
Enrollment ID: O20050324000095
Entity NameSt Tammany Emergency Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891187654
PECOS PAC ID: 7214255967
Enrollment ID: O20150409001843

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey P Davenport is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Blackshear, GA

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: Medicare Enrolled
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: Medicare Enrolled
Practice Location: 120 E Carter Ave, Blackshear, GA 31516
Phone: 912-449-4426    Fax: 912-449-1517

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.