| Davis L Mellick, PA-C | |
|
1120 15th St, Augusta, GA 30912-0004 | |
| (706) 721-9957 | |
| (706) 721-7718 |
| Full Name | Davis L Mellick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 1120 15th St, Augusta, 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 |
|---|---|---|---|
| 1407165236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5965 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgialina Physical Therapy Associates Llc | 6002812401 | 406 |
| Augusta Critical Care Llc | 2163899865 | 2 |
| Intensive Care Consortium Inc | 0244269413 | 485 |
| Entity Name | Acs Primary Care Physicians - Southeast PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Med Now Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245475771 PECOS PAC ID: 5799835153 Enrollment ID: O20090608000055 |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20101206000106 |
| Entity Name | Augusta Critical Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457075376 PECOS PAC ID: 2163899865 Enrollment ID: O20221109003154 |
| Mailing Address | Practice Location Address |
|---|---|
| Davis L Mellick, PA-C 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-9957 | Davis L Mellick, PA-C 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-9957 |
Rachel Mccall Dawkins, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Doctors Hospital Of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 Phone: 706-651-6080 |
Robert G Stowers, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3291 Fax: 706-721-1459 |
Mrs. Melanie Grace Bowen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2922 Professional Pkwy, Augusta, GA 30907 Phone: 706-556-2767 |
Andrea N Sarata, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 |
Amanda Marie Tyra, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St # Ad-2226, Augusta, GA 30912 Phone: 706-446-4887 Fax: 706-723-0382 |
Ms. Catherine Heather Hanneman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1303 Dantignac St, Augusta, GA 30901 Phone: 706-821-2944 |
Mr. Derek Aaron Lafont, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3696 Wheeler Rd, Augusta, GA 30909 Phone: 706-736-1830 Fax: 706-650-7553 |