Mr Bartlett Emory Davis, PAC ATC - Medicare Physician Assistant in Vidalia, GA

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Mr Bartlett Emory Davis, PAC ATC is a medicare enrolled "Physician Assistant" in Vidalia, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Plains Hospital Corporation, Municipality Of Skagway and his current practice location is 1707 Meadows Ln, Suite H, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 538-0040.

Mr Bartlett Emory Davis is licensed to practice in Georgia (license number 1574) 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 1205058948.

Contact Information

Mr Bartlett Emory Davis, PAC ATC
1707 Meadows Ln, Suite H,
Vidalia, GA 30474-7200
(912) 538-0040
(912) 538-8133

Map and Direction




Provider's Profile

Full NameMr Bartlett Emory Davis
GenderMale
SpecialityPhysician Assistant
Experience19 Years
Location1707 Meadows Ln, Vidalia, 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:
  • Mr Bartlett Emory Davis attended and graduated from Medical College Of Georgia School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1205058948
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 03/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2961594940
  • Enrollment ID: I20251209001991

Medical Identifiers

Medical identifiers for Mr Bartlett Emory Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205058948NPI-NPPES
450809077BMedicaidGA
450809077CMedicaidGA
1740483MedicaidAK
01075299OtherGAAMERIGROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 209883 (Alaska)Secondary
363A00000XPhysician Assistant 1574 (Georgia)Primary
2255A2300XSpecialist/technologist - Athletic Trainer AT00981 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clark Fork Valley HospitalPlains, MTHospital
Norton Sound Regional HospitalNome, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Plains Hospital Corporation418369113229
Municipality Of Skagway024422772612

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. Mr Bartlett Emory Davis allows following entities to bill medicare on his behalf.
Entity NamePlains Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265547939
PECOS PAC ID: 4183691132
Enrollment ID: O20040910000606
Entity NamePlains Hospital Corporation
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1265547939
PECOS PAC ID: 4183691132
Enrollment ID: O20061104000639

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. Mr Bartlett Emory Davis 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
Mr Bartlett Emory Davis, PAC ATC
Po Box 1793,
Vidalia, GA 30475-1793

Ph: (912) 538-9033		Mr Bartlett Emory Davis, PAC ATC
1707 Meadows Ln, Suite H,
Vidalia, GA 30474-7200

Ph: (912) 538-0040

Reviews and Comments


Physician Assistant Nurses in Vidalia, GA

Mr. James R Payne, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474
Phone: 912-454-7012    Fax: 866-871-8565
Emily Paige Berryhill, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474
Phone: 912-535-5555    
Hunter E Lynn, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3301 E 1st St # A, Vidalia, GA 30474
Phone: 912-537-4411    
Mr. Alex Pierce, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1013 E 1st St, Vidalia, GA 30474
Phone: 912-538-7702    
Dianne S Mixon, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1608 Meadows Ln Ste 1, Vidalia, GA 30474
Phone: 912-537-9488    Fax: 912-537-8951
Robert Lee Arnold, MPAS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Maple Dr, Vidalia, GA 30474
Phone: 912-537-9851    Fax: 912-537-9843
Archie Thomas Kirkley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665

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.