| Ryan Davis, | |
|
690 Dallas Hwy Ste 301, Villa Rica, GA 30180-1262 | |
| (770) 459-3850 | |
| (770) 456-3620 |
| Full Name | Ryan Davis |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 11 Years |
| Location | 690 Dallas Hwy Ste 301, Villa Rica, 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 |
|---|---|---|---|
| 1396125076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 82162 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Medical Group Inc | 2769536143 | 111 |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Davis, 706 Dixie St Ste 220, Carrollton, GA 30117-3889 Ph: (770) 838-8710 | Ryan Davis, 690 Dallas Hwy Ste 301, Villa Rica, GA 30180-1262 Ph: (770) 459-3850 |
Kaysi Benefield, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180 Phone: 770-812-3850 Fax: 770-456-3826 | |
Sheri Campbell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180 Phone: 770-456-3850 Fax: 770-456-3826 | |
Hector Alejandro Caceres Serrano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy Ste 301, Villa Rica, GA 30180 Phone: 770-812-3850 Fax: 770-812-3826 | |
Alcha K Strane, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy Ste 301, Villa Rica, GA 30180 Phone: 770-812-3850 | |
Dr. Eric Vera, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 403 Permian Way, Suite A, Villa Rica, GA 30180 Phone: 770-771-5235 Fax: 770-771-5236 | |
Tiffany L Stanfill, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180 Phone: 770-812-3850 Fax: 770-456-3826 |