BRADLEY T DAVIS (NP) – Nurse Practitioner, NPI 1083168793

BRADLEY T DAVIS (NP) is a healthcare provider. based in Cordele, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN191357 (GA). The NPI Number for BRADLEY T DAVIS (NP) is 1083168793

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY T DAVIS (NP)
NPI
1083168793
Phone
(229) 276-2286
Address
910 N 5TH ST
Enumeration Date
10 August 2016
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292763100
Graduation Year
2016 (10 years ago)
PAC ID
1153617493
Group Practice PAC ID
5991616336
Professional Enrollment ID
I20160913000229
Address ID
GA310153234CO902XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for BRADLEY T DAVIS (NP)

  • 910 N 5TH ST

    CORDELE, GA 310153254

    Phone: (229) 276-2286

    Fax: (229) 276-2289

    Type: Mailing

  • 910 N 5TH ST STE C

    CORDELE, GA 310153254

    Phone: (229) 805-9770

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-02-19 • Largest payer in this snapshot: Bioventus LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Bioventus LLC$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160913000229INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14880$0
J1030Injection, methylprednisolone acetate, 40 mg8043$0
J1885Injection, ketorolac tromethamine, per 15 mg6730$0
J1100Injection, dexamethasone sodium phosphate, 1 mg6219$0
20610Aspiration and/or injection of fluid from large joint5940$0
View full utilization report →

Insurance plans in this area (ZIP 31015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991616336View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
General SurgeryGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Internal Medicine, NephrologyGA
Physician AssistantCO
Internal MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to BRADLEY T DAVIS (NP)?
The federal identifier for BRADLEY T DAVIS (NP) is NPI 1083168793.
Is BRADLEY T DAVIS (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BRADLEY T DAVIS (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for BRADLEY T DAVIS (NP). Clinical services aligned with this taxonomy classification.
Where does public data place BRADLEY T DAVIS (NP)?
The snapshot lists Cordele, Georgia for BRADLEY T DAVIS (NP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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