| Matthew Davis, MD | |
|
11 Charlie Morris Rd, Colbert, GA 30628-2445 | |
| (706) 788-2127 | |
| Not Available |
| Full Name | Matthew Davis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 11 Charlie Morris Rd, Colbert, 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 |
|---|---|---|---|
| 1295172773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 069571 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Washington County Regional Medical Center | Sandersville, GA | Hospital |
| Dodge County Hospital | Eastman, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Dodge Emergency Medical Services, Llc | 8224360805 | 13 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Accordia Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962826511 PECOS PAC ID: 1153544945 Enrollment ID: O20140523001143 |
| Entity Name | Southland Hawkinsville Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891100962 PECOS PAC ID: 2769600642 Enrollment ID: O20140908000486 |
| Entity Name | Southland Cochran Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205241395 PECOS PAC ID: 9638398027 Enrollment ID: O20140917001247 |
| Entity Name | Southland Taylor Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093120909 PECOS PAC ID: 6800015959 Enrollment ID: O20140922002775 |
| Entity Name | Southland Consolidated Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Southland Dodge Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
| Entity Name | Madison Emergency Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770193419 PECOS PAC ID: 2961829072 Enrollment ID: O20200902003387 |
| Entity Name | Southland Burke Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235885815 PECOS PAC ID: 9537547401 Enrollment ID: O20220606000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Davis, MD Po Box 459, Colbert, GA 30628-0459 Ph: () - | Matthew Davis, MD 11 Charlie Morris Rd, Colbert, GA 30628-2445 Ph: (706) 788-2127 |
Alicia M Hopkins, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Medlink Colbert, Colbert, GA 30628 Phone: 706-788-2127 Fax: 706-788-2815 |