| 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 |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Providers Llc | 9830082825 | 425 |
| 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: Medicare Enrolled 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 | |
Ijeoma Okwandu Bello, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 600 Lanier Ave W Ste 203, Fayetteville, GA 30214 Phone: 678-990-9468 | |
Dr. Thomas K Taylor, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments 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 |